Instructions to sender: Please print this page and use as your cover sheet for faxing the completed order forms to your Enagic Distributor. Once faxed, your distributor will review and sign the order form and transmit your order to Enagic for processing.
| FAX TO Number: | 815-572-0405 Fax |
| TO SPONSOR: | Robert Hilke Jr |
| SPONSOR ID: | 7129984 |
| Sender's Name: | ________________________________ |
| Sender's FAX #: | ___________________ |
| Sender's Phone: | ___________________ |
| Date: | _______________ |
|
Re: |
Enagic Kangen Water Ionizer Order / Distributor Application |
|
Number of pages: (with cover) |
_______ |
Please process the attached order for a Kangen Water Ionizer ASAP!
| Comments: |
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