Range Guide Wholesale Club

Member Application & Agreement

Member Prices

*Required Fields

*Name____________________________________________________________________________

*Address__________________________________________________________________________

*City _______________________*St/Prov ________________*Zip/Postal____________

Bus. Tel (____)___________________* Home Tel (____)____________________

Fax (____ )______________________ Cell Tel (____)_______________________

E-mail ____________________________________

Ship to Address (if different)

Address____________________________________________________________________________

City _______________________St/Prov ____________________Zip/Postal________________

Range Guide Wholesale Club Membership Policy & Procedures: Our membership, since October 2001 A.D., is intended to sponsor and contribute to our spiritual endeavors with youth mission and health research. You are encouraged to help us by being a member and sharing our products to help yourself and others have better health and happiness. Our policy also focuses on the mission and not the money, and you are encouraged to help others with the same policy in mind also. Members are not allowed to compete with the Range Guide Wholesale Club by approaching our sources of products to purchase, sell and market them, or any other means of circumvention without our express, written authorization. Members pay regular wholesale prices. Members are encouraged to utilize the extra 4% discount for purchases made without credit/debit cards. All current members that have not signed and mailed in this Application have agreed to abide by this policy and procedure by purchasing our products since October, 2001 A.D., and are encouraged to mail this application in without the membership fee they have already paid, and make a copy for their records. All persons ordering with credit cards approve of our using their credit cards for their purchases.

Please register me as a Range Guide Wholesale Club Member.

I have carefully read and agree to comply with the Range Guide Wholesale Club Policies & Procedures and I agree that as a Fountain of Life Independent Consultant I am an independent contractor, and not an employee, agent, partner, legal representative, or franchisee of Range Guide Wholesale Club. I understand that I shall not be treated as an employee of Range Guide Wholesale Club for federal or state tax purposes, and that my purchases are in support of non-secular spiritual missions of The Church of Christ supported by our association with Range Guide Wholesale Club, a private, non-secular spiritual outreach association part of The Church of Christ - the non-denominational Assembly established by Jesus Christ assembling worldwide. All those who Love God are welcome. Those who do not Love God must Love God first before becoming involved with our activities.

I have read the Range Guide Wholesale Club Membership Policy and the Terms of Service/Terms Of Use , both of which are incorporated into and made a part of this Range Guide Wholesale Club Application and Agreement herein. I understand that the Application and Agreement, the Range Guide Wholesale Club Policies and Procedures, or the Range Guide Wholesale Club Membership Policy may be amended from time to time, and I agree that any such amendment will apply to me. Notification of amendments shall be published in official Range Guide Wholesale Club materials. The continuation of my Range Guide Wholesale Club Membership and benefits shall constitute my acceptance of any and all amendments.

I understand that I have the right to terminate this Agreement at any time, with or without reason. I understand that such termination must be in writing. I understand and agree that Range Guide may terminate this Agreement at any time, with or without reason, upon written notice to me.

Applicant’s Signature____________________________________________________Date____/____/____

Check the following:

____*I have enclosed my $15.00 Registration fee. Payable by: PMO, Cashiers’ Check, Credit or Debit Card (NO CASH PLEASE). All payments must be imprinted with maker’s name. Payments payable to Burk-Elder: Hale, Third (Spell Burk-Elder’s name and the Family name exactly as written. No all-capital letters or similar misnomers accepted).

____*VISA____ *MasterCard                     Total $_____________________

*Credit Card Number: ____________________________ Exp.:____/____ CVV2:______

*Cardholder’s Name (Print): _________________________________________________

*Cardholder’s signature:_____________________________________________________

*Cardholder Daytime Phone: (_____)______________________________

Send completed Application to the following mailing location exactly as written below:

Clan Hale, 702 Woodgate Road, Ringgold, Georgia 30736

Or Fax a signed copy to:  775-383-3378 and/or send payment by mail or email