ASSOCIATE INFORMATION
Federal ID# or SS#: (official tax number)_________________________________________
Company Name:_________________________________________Resale Tax #:_______________
NAME Last:_________________________First:_________________________Initial:________
Address:__________________________________________________________________________
City:_______________________________State:____________Zip:________________________
Telephone: (_____)__________________ E-Mail: ____________________________________
Sponsor: Dika Golovatchoff Sponsor Telephone: (805) 569-0791 Address: 320 East Valerio Street Santa Barbara, CA 93101
Sponsor ID# AAAA267 Associate ID# Assigned:___________
APPLICATION AGREEMENT
My signature below indicates that I am of legal age and I have read, accept and
agree to all the Terms and Conditions regarding Privileges as outlined in this
agreement.
1. I state and affirm that I am acting as a free agent and independent contractor,
holding myself out to the General Public as an independent contractor for other
work or contracts as I see fit. I am not an employee of FLINT RIVER RANCH, or any
subsidiaries, and will operate as an independent contractor fully responsible for
my own expenses; FLINT RIVER RANCH will not be held responsible for any claims on behalf
of FLINT RIVER RANCH other than those set forth in FLINT RIVER RANCH literature.
2. I realize that I must abide by all Federal, State and Local laws pertaining to
self-employment and the marketing of company products, including any taxes due and payable
to any of the above. FLINT RIVER RANCH will be responsible for the collection and remittance
of all applicable California sales and use tax on the retail price of the product.
Resale certificates can only be accepted from companies with established retail store
front locations.
3. I understand that there is no expense to initiate an Associate Agreement. I will
effectuate and promote the sale of FLINT RIVER RANCH products on a continuing basis.
4. I understand this agreement can be terminated at any time upon mailing written notice
to FLINT RIVER RANCH, This agreement shall automatically end on the 1st day of July each
year, unless renewed by Associate and FLINT RIVER RANCH in accordance with the then existing
Marketing Plan and Policies and Procedures made part of this Agreement by reference.
5. The FLINT RIVER RANCH Policy and Procedures provide for transfer and assignment of this
Agreement. The situs of this Agreement is California.
Date:_____________________________
FLINT RIVER RANCH
11205 ALPHARETTA HWY, H-4 __________________________________
ROSWELL, GA 30076 Signature of Applicant/Associate
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