AFFILIATE MEMBERSHIP APPLICATION
Please print and fax or mail to:
119 Stanford Court
Irvine, CA 92612
Fax: 949-854-7687

Company Name:

Where Company name has not been determined; write undetermined and membership will be listed under President / CEO's name

President / CEO:


Address:

City:

State:

Zip:

Office Phone:

Fax:

Home Phone:

Fax On Demand:

Email:

Website:

Mailing Address (If different from above):


We (I) hereby apply for membership in the Multi-Level Marketing International Association (MLMIA) and understand that to be elected to active membership we (1)
  • must be of good moral and professional character
  • subscribe to the principles and ethics established by the Association
  • meet the requirements and standards established by the Association.

We (I) understand that to remain a member, membership must be renewed annually.

AFFILIATE MEMBERSHIP

Affiliate Membership is a non-voting membership category for start-up (not yet selling products and/or services or signing up Distributors) Network Marketing Companies or divisions.
Once an Affiliate becomes operational, Affiliate Membership ceases and the company must apply for full Corporate Membership and pay difference in membership dues. Affiliate members are entitled to some Association assistance, advice and counsel during their start-up phase and a Corporate Starter Kit.

AFFILIATE MEMBERSHIP DUES
Affiliate Membership Dues: $500.00

Method of payment:
Check - payable to MLMIA
Visa
AmEx
MasterCard

Credit Card Number:

Expiration Date:

Print Name On Credit Card:

Signature:

OFFICE USE:
Ac

Kit Sent

MSDS

QB

MSDIR

1198

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