STANDING ORDER PRODUCT PROGRAM

This purchase agreement certifies that I _____________________________ fully understand the rules and regulation

governing the Standing Order Product Program for a period of Six (6) months from ____________ to

____________:-

1) That I voluntarily subscribe for the Program and have not been forced, coerced by my sponsor, or my upline or

other parties.

2) That I understand that all orders must be accompanied by payment with cash or standing orders/instructions on

monthly basis as follows:-

Bank: _______________________________________

Beneficiary: Made payable to ______________________________ (“the Seller”)

Amount per month: RM _________________________________

Period: Six (6) month with effect from ______________ to ____________ .

3) This application shall constitute a binding agreement between me and the Seller at such time as this application

is received and approved.

4) Nothing in this Agreement shall be construed as creating an agency relationship between the Seller and me.

5) I agree that this Agreement is personal in nature and is non-transferable.

Product Option:

1) Double X+ Protein + Positrim (Vanilla /Coklat/Coffee) RM

2) Protein + Positrim (Vanilla /Coklat/Coffee) RM

I have read this document and agree to abide by the terms and conditions set forth herein

Subscriber Information (please write clearly and properly):-

Name: _________________________________________________ NRIC No.______________________

Delivery Address:_________________________________________________________________________

___________________________________________________________Contact No.___________________

Email: _____________________________________________________ Date: _______________________

_______________________________

Subscriber’s Signature

I ___________________________ hereby acknowledge receipt of the following:-

1) ( ) Cash RM____________ ;

2) ( ) Standing orders/instructions

Subject to the receipt of the money, I hereby agree to provide the Product to the Subscriber for a period as agreed

above.

_______________________________ Date:_________________________

Seller’s Signature