Stamp Affair
500 Park Avenue, Suite 207
Lake Villa, Illinois 60046
847-265-3330  fx 847-265-3331
INDEPENDENT DISTRIBUTOR APPLICATION
1. APPLICANT INFORMATION
SSN/CTN ________________________________
Birth Date (Month/Day/Year) _________________
Business- if applicable ______________________
Full  Name _______________________________
Street Address ____________________________
City, State, Zip Code
________________________________________
Country _________________________________
Email ___________________________________
Telephone _______________________________
Fax _____________________________________
SPONSOR'S INFORMATION

Leiko Nortman
6541 Doriane Circle
Huntington Beach, CA 92647
Phone: 714-596-0109
Email: chickypicky@socal.rr.com 
ID: 5687567LN

If you would like to place an order right now, 
print out this ORDER FORM and send it in!

2. Standing Order
I understand that each month Stamp Affair will send me the following months' special packages and I have the option of purchasing the monthly package the meets my monthly minimum purchase or I can choose other products for the Stamp Affair most current catalog as long as it totals at least my monthly minimum. If I do not choose other products, I agree to automatically receive the monthly special package. I understand that I may change my standing order at any time, by mail or by fax. I further understand that I will be debited on the day I join, plus each month thereafter on the 20th. All debits on the 20th will result in your standing order being shipped on or about the 16th of the following month. This give Stamp Affair ample time to process all commission checks and downline reports. Payment for standing order(s) will be the method of payment and account information either on file or as specified below. Select your position from the list:
___DISTRIBUTOR-Pays you through three levels, no matter how few or how many people are in those three levels. Your only requirement is a $50.00 personal volume monthly. You purchase $50.00 of products for your own use or to resell is completely up to you.

___EXECUTIVE DISTRIBUTOR-Pays you through five levels, again no matter how few or how many distributors are on those five levels. Your only requirement is a $75.00 personal volume monthly.

___ DIRECTOR-Pays you through seven levels, again no matter how few or how many distributors are on those seven levels. Your only requirement is $100.00 personal volume monthly.

___EXECUTIVE DIRECTOR- If you are actively building your business, this position is your reward. As an Executive Director you qualify for commissions down through ten levels. You must have a $200.00 personal volume monthly and enroll at least three Directors during the month. Any month you do not recruit three Directors you will receive the same commission as a Director.

Compensation
Levels
Dist. Exec Dist. Director Exec.Dir.
1 2% 2% 2% 2%
2 4% 4% 4% 4%
3 4% 4% 4% 4%
4   4% 4% 4%
5   4% 4% 4%
6     3% 3%
7     3% 3%
8       1%
9       1%
10       1%
YOU ARE NOT ENROLLED AS ACTIVE UNTIL YOUR FIRST ORDER AND METHOD OF PAYMENT ARE RECEIVED.
3. Payment Method
Stamp Affair accepts checking account debits (US accounts only) or credit cardsl. If paying by check, please tape to application or blank sheet of paper. Make sure not to cover your order or your signature. Write on check "STANDING ORDER". Fax or mail to Stamp Affair. Money Orders are also accepted.
METHOD OF PAYMENT   ___Check    ___Credit Card (check one)
A participant in the Stamp Affair compensation program has a right to cancel at anytime, regardless of reason. Cancellation must be submitted in writing with an original signature via mail or fax addressed to Stamp Affair at its principal place of business. Termination refunds for returned product shall be subject to a 10% restocking fee (20% for other than US residents) for the last 30-days qualifying package with further deductions for commissions generated by the original product purchase. Shipping costs are non-refundable. It is agreed that these provisions shall survive the expiration or termination of this agreement.
CREDIT CARD INFORMATION _VISA  _M/C  _DISCOVER  _AMEX (check one)
ACCT# ______________________________ EXP DATE _______________
NAME ON CARD _____________________ SIGNATURE: _________________________
4. Signature   ____________________________________________________
    Date: ____________________________
     Signature required regardless of Position