Partner List Form
INSTRUCTIONS
1. Fill out the Name Information Section
2. Fill out the Mailing Address Section
3. Fill out the Other Contact Information Section
4. Fill out the Optional Information (Not Required)
5. Select the appropriate option:
  • Select "Add To Mail List" to add your name to the mail list.
  • Select "Update Name & Address" if you are already on the MLM mail list and need to update your information.
  • Select "Remove From List" if you want to remove your name from the MLM mail list.
6. Click on the "Submit" button.
1. Name Information
Title :
First Name : *
Last Name : *
Suffix :
Spouse First Name :
2. Mailing Address Information
Address Line 1 : *
Address Line 2 :
City : *
State/Province : *
Country : *
ZIP/Postal Code : *
3. Other Contact Information
Phone # :
(Please include area code,
country code, etc.) 		e-mail : *
4. Optional Information (Not Required)
Birthdate (MM/DD/YY) : / /
Gender :
Male Female
Comments:
 
5. Choose to Add, Update, or Remove
Add To Mail List Update Name & Address Remove From Mail List