Instructions to sender: Please print this page and use as your cover sheet for faxing the completed forms to your Winalite Distributor. Once faxed, your distributor will review and sign the order form and transmit your order to Winalite for processing.
| FAX TO Number: | 845-504-2697 Fax |
| TO SPONSOR: | A & J Group |
| SPONSOR ID: | US0014777 |
| Sender's Name: | ________________________________ |
| Sender's FAX #: | ___________________ |
| Sender's Phone: | ___________________ |
| Date: | _______________ |
|
Re: |
Winalite Enrollment Form |
|
Number of pages: (with cover) |
_______ |
Please process the attached Winalite Enrollment ASAP!
| Comments: |
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