Email to: firstname.lastname@example.org
OR Fax to: (408) 423-8755
Fill in the information requested on this page, then highlight the
entire page and copy (Ctrl C) to the clipboard. Then click on the Boss's
link above and paste (Ctrl V) to the body of the message. If
you wish to be a 1st Family Access distributor,
be sure to print out an extra copy of this page to snail-mail in to the
home office. Be sure to sign in all the appropriate places before
mailing that copy.
Finally, click on my link below, and let me know that you have joined my downline so that I can get to work helping you as quickly as possible. Welcome aboard. --- John W. Nichols
Contact person if applicant is a company:
Phone: ( )
Fax: ( )
Social Security Number or Fed Tax ID# (or Fed. Tax ID# )
SPONSOR: John W. Nichols Distributor ID# NIC7134
Sponsorís E-mail Address: email@example.com
I AM SUBSCRIBING TO THE FOLLOWING:
_____ Distributor Kit to become an Independent Representative,$25.00
(California residents add 6.5% sales tax)
(A distributor is not required to be a Access Subscriber, nor is the subscriber required to be a distributor. Therefore, you can be both a distributor and a subscriber or either.)
_____ Basic Service Internet Subscriber Unlimited Access, $19.95 per month
USER NAME: __________________ PASSWORD: __________________
_____ EZ SiteMaker Service, $10.00 per month
_____ Autoresponder Service, $15.00 per month. (Includes 3 separate Autoresponders.)
_____ Web Site Hosting, $50/mo (includes 20 MB/s, $250 Setup Fee)
_____ 800# Voice Mail - Flat Rate $29.95/mo + $25 Setup Fee (Optional - Marketing Support.)
This is a great support System for Developing your Downline. People call you on your 800#, but the fee is never more than $39.95/mo. Since this is commisionable at $5/mo through your downline, you will make money on this too while it supports your 1st Family Distributorship.
Autoresponder service and EZ Site Maker as well as Web Site Hosting is optional and can be purchased separately from 1st Family.
INITIAL SETUP FEES: (Select one)
_____ Check enclosed. Make check or money order payable to
Lighthouse Productions, Inc.
_____ Bill to my credit card along with my monthly fees.
Credit card information listed below.
INFORMATION FOR MONTHLY BILLING: (Select one)
______Bill my credit card: VISA____ M/C____ AMEX____
Print Name as it appears on card:
Credit Card Number:
______You are authorized to debit my U.S. Bank Account. (You will be
sent a separate authorization form.)
Name on Account:
Bank Routing Number: (19 Digit Number on bottom of check):
Write "Void" on one check and submit it with your original application.
You may email or fax this form to get started right away, but you will
also need to send the original copy with your signature before any
commissions can be paid to you.
Email to: firstname.lastname@example.org
OR Fax to: (408) 423-8755
(To Email this form, simply select it with your mouse, Choose Copy from your Browser. Then go to your Email program, start a new message, address it to email@example.com and Paste into the BODY of the message. Fill in the blanks and HIT SEND.)
Mail original copy to:Attn.: 1st Family Application Lighthouse Productions Inc. 444 Meder St. Santa Cruz, CA 95060
Fax (408) 423-8755
Lighthouse Productions Inc. d/b/a 1st Family of Internet Services