Important Please read, print and return
This is not an order form but an interest form
Name: ____________________________________________________ Date: __________________
Address: ____________________________________ City: ____________ St: ____ Zip: _________
Phone: _______-_______-________ Fax: _______-_______-________
PLEASE CHECK BENEFITS THAT INTEREST YOU
Mail or Fax to MLMIA ASAP
Can be generic or private label programs for your Distributors.
p $1,000,000 of LIABILITY INSURANCE for Distributor (from $3 to $15) ______
p International Med-Care. At an annual member cost of only $45 per household _____
p Health Care Program No cost individual/family $25.00
p Multiple Benefits Package - $39.95
Vacation Club – Discount travel - Airline Discounts-– Buyers Club – Savings up to 50% on wide variety name brand products. Up to 50% discounts at over 2,000 hotels, motels & resorts worldwide. - Car Rental Discounts – National Golfers Network – Magazine Discounts – More!
Fax to: MLMIA – 949 854 7687 Email to: [email protected]
Mail to: MLMIA – 119 Stanford Court – Irvine, CA 92612
IMPORTANT: A MLMIA representative will call to discuss benefits you checked. Please state best times to call. AM __________ or PM_________.