Britt WorldwideVINCENT & RINA YONG Prospective Distributor Lead Sheet

Please print clearly and underline the SURNAMES.Country: Date:

Prospect’s Information

Prospect name: Spouse: none

Address: Nearest major city to the town where they live: Home phone: Mobile phone: Email: Fax:: Prospect’s occupation: Prospect’s age: What language do they speak? Do they have children? How did you contact the prospects? Phone / Email / Didn’t / Other : Do the prospects know you are in the Amway business? No / Yes: When? Have you specially said you would like them to look at a business? Have they look at the Amway business?

If Yes, what was their response?

International Sponsor Information (The distributor whose prospect is listed above)

Full name: Spouse: ADA#: Address:City: State/Zip: Country: Home Phone: Mobile phone: Fax: Email:

Home-Country Line of Sponsorship Information

Upline Sponsor: ADA#: Country: Upline Direct: ADA#: Country: Upline Emerald: ADA#: Country: Upline Diamond: ADA#: Country: