RDOFUNBAGZ
RDO ENTERPRISES, LLC
CONSULTANT APPLICATION
NAME:_________________________________________________________________
(Last) (First) (MI)
SSN:____________________________________LOCAL SALES TAX:____________
ADDRESS:_____________________________________________________________
(Street) (City)
_____________________________________________________________
(State) (Zip) (County)
Home Phone:____________________________Fax:____________________________
Cell Phone:______________________________Email:__________________________
Referring Consultant:________________________________ID#_________________
Starter Kit ($ 299.00)_________ Limited Time ($249.00)________
Inventory Kit ($ 499.00)_______ Limited Time ($449.00)________
Sales Tax __________ (7.25% x Kit Retail Value—if you live in Ohio)
Shipping __$9.95___
Total __________
PAYMENT METHOD
Credit Card: V, MC
Credit Card Type (circle one) Visa Mastercard
Credit Card Number:______________________________________________________
Credit Card Expiration Date:______________________CVV2 Number:_______________
Name on Card:___________________________________________________________
Billing Address:___________________________________________________________
(Street) (City) (State) (Zip)
Signature of Cardholder:____________________________________________________
Note: To complete the registration process, the Consultant Contract must be signed and submitted.
Return to: RDOFUNBAGZ; Fax: 740-549-4783, Address: 8085 Coldharbor Blvd. Lewis Center, Oh 43035
