Membership Application :: Ultra Dry by Chem Max Corporation

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Ultra Dry by Chem Max | Ultra Dry by Chem Max | Ultra Dry by Chem Max

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Name:
Business Name:
Mailing Address - Street:
City:
State:	Zip:
Shipping Address - Street:
City:
State:	Zip:
Phone:
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E-mail Address:
Sponsor's Account Number:

If this is the first time that you are sponsoring a new member, congratulations! Keep up the good work. Soon you may be receiving your supplies for free. Use your name & e-mail address for your first sponsorship, we will e-mail you your official sponsor's account numbers and a credit memo for your first of many credits.

Membership requires an initial order of $250.00 or more. There is no minimum order thereafter.

All orders require payment in full. We use PayPal for online payments. If you prefer not to make payments online, print out the Credit Card Authorization Form, sign it, and Fax (231-798-8080) or mail it to us at the address below. If you need help with your order or you prefer to give us yor credit card information over the phone, just call 1-800-858-7237 (EST 8 a.m. to 5 p.m., M-F).

Mailing Address:
Chem Max Corp
6479 Norton Center Dr
Norton Shores, MI 49441

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