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1. Application Information - Melaleuca

1. Application InformationComplete the following Information with respect to the designated contact person for the Entity (the Contact Person ):NAME OF CONTACT PERSON TITLE OF CONTACT PERSONADDRESS OF CONTACT PERSON CITY STATE ZIP CODE TELEPHONE NUMBER OF CONTACT PERSON EMAIL ( ) Note: The contact person does not have to be the same as the Authorized the following Information with respect to all individuals affiliated with the Entity who have authority to sign for or act on behalf of the Entity (the Affiliated Persons ). Provide requested Information for all officers and directors: (Use additional pages if necessary)BY SIGNING THIS FORM I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND AGREE TO ALL THE TERMS AND CONDITIONS OF THE FRONT AND BACK OF THIS ADDENDUM INCLUDING THE TERMS AND CONDITIONS OF THE AGREEMENT WHICH ARE INCORPORATED AS PART OF THIS organization Addendum 2017 Melaleuca , Inc.

1. Application Information ... The Entity is a Religious Organization and is unincorporated. An authorized representative of the Entity must sign the following statement: I, _____, am an officer, member of the Board of Trustees, or religious leader of the Entity and have authority to represent, ... This Addendum is supplemental to the Agreement ...

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