URGENT URGENT URGENT
Please copy and paste this form to a word document and print and sign as well as electronically send to your
Board Member and Dr King
Wizard Of Success Adventure Team ( WOSAT)
Membership Agreement and Authorization of Earnings Disposal and Disbursement
NAME: _____________________________________
Physical Address _____________________________
City ________________________________
State_______________________________
Country_____________________________
Zip or Mailing Code____________________
EMAIL ADDRESS ____________________________
SS* OR Tax I.D. * ________________________________
WOSAT I.D. * ________________________________
I agree that any commissions, residuals, bonuses or any other monies earned through my membership activities in Wizards of Success Adventure Team (WOSAT) will be put into the general WOSAT funding account for equal distribution to all WOSAT members.
I understand that my earnings will be paid by WOSAT from this funding account. I have included my SS* and/or Tax I.D. # required by my country for tax purposes and Authentication of Identity.
WOSAT accounting will be handled by the elected Treasurer and Financial Audit Team and Approved by The Board prior to disbursal. All accounting will be available for review upon request.
_______________________
Signature
________________________
Date
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Please email copy by January 6, 2006 to:
ricster727@dslextreme.com AND
drking@usbusinesscorp.com
MAIL HARD COPY TO:
Wizards Of Success Adventure Team
% Dr. David King ,Owner & Chairman
7346 Fire Department Rd.
Hope Mills, N.C. 28348-8955
YOU WILL NOT BE ABLE TO PARTICIPATE IN ANY PROGRAMS UNLESS THIS RELEASE IS RECEIVED BY JANUARY 9th, 2006.
There must be a Hard copy original mailed to the Above
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