Federal ID# or SS#: (official tax number)_________________________________________________
Company Name:__________________________________________ Resale Tax #:______________
NAME-Last:_______________________________First:__________________________Initial:_____
Address:__________________________________________________________________________
City:______________________________________State:_____________Zip:___________________
Telephone: (_____)_____________________ E-Mail: ______________________________________
Sponsor: Ray Burgett Make Checks Payable to: _______________________________________
Sponsor ID# 849E Associate ID# Assigned:_____________________________________
My signature below indicates that I am of legal age and I have read, accept and agree to all the Terms and Conditions regarding Privileges as outlined in this agreement.
1. I state and affirm that I am acting as a free agent and independent contractor, holding myself out to the General Public as an independent contrator for other work or contracts as I see fit. I am not an employee of FLINT RIVER RANCH, or any subsidiaries, and will operate as an independent contractor fully responsible for my own expenses; FLINT RIVER RANCH will not be held responsible for any claims on behalf of FLINT RIVER RANCH other than those set forth in FLINT RIVER RANCH literature.
2. I realize that I must abide by all Federal, State and Local laws pertaining to self-employment and the marketing of company products, including any taxes due and payable to any of the above. Flint River Ranch will be responsible for the collection and remittance of all applicable sales and use tax on the retail price of the product. Resale certificates will be accepted for companies with established retail locations who collect and report their own taxes.
3. I understand that thereis no expense to initiate an Associate Agreement. I will effectuate and promote the sale of FLINT RIVER RANCH products on a continuing basis.
4. I understand this agreement can be terminated at any time upon mailing written notice to FLINT RIVER RANCH, This agreement shall automatically end on the 1st day of July each year, unless renewed by Associate and FLINT RIVER RANCH in accordance with the then existing Marketing Plan and Policies and Procedures made part of this Agreement by reference.
5. The FLINT RIVER RANCH Policy and Procedures provide for transfer and assignment of this Agreement. The situs of this Agreement is Georgia.
FLINT RIVER RANCH
11205 Alpharetta Highway, H-4EA
Roswell, GA 30076
Phone: 800-FLINT-58 FAX: 678-990-5650
WWWW.frrco.com
Date:_____________________________
__________________________________
Signature of Applicant/AssociateShipping Address if Different:
Address:__________________________________
City:________________ State:____ Zip__________
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