Melaleuca Membership Questionnaire

1

NAME* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone NumberIf you would like me to contact you directly.

Please enter a valid phone number.

4

Region and Language* This field is required.

5

DO NOT ACTIVATE YOUR LINK UNTIL YOU'RE READY TO ORDER!* This field is required.You will receive $20 USD/ $24 CAN credit (loyalty dollars) that can manually be applied to your first order (above the 35 point minimum and above any New Member Savings Packs) as long as you order within 48 hours of activation. Do you agree not to activate until you're ready to order?

YESNO

6

NEW MEMBER SAVINGS PACKS* This field is required.I highly suggest ordering one of these packs (you'll find them in the MENU under New Member Savings Packs) as they are the best value for your dollar and have a greater discount than normal membership pricing! These product packs are only available to a customer within their first two months of being a member. Click "YES" to confirm that you've read the above statement.

YESNO

7

8

PLEASE READ

9

HAVE YOU READ THE PDF "HOW IT WORKS"?* This field is required.

YESNO

10

DO YOU UNDERSTAND THAT MELALEUCA HAS A 90 DAY, MONEY-BACK GUARANTEE IF YOU ARE UNSATISFIED WITH ANY PRODUCT FOR ANY REASON?* This field is required.You can call customer service for your full money, a store credit or a product in exchange. Click "YES" to confirm you've read the above statement.

YESNO

11

Do you understand that shipping is a flat rate fee of $10.22 USD / $12.88 CAN that is refunded 100% in the form of loyalty dollars (store credit), if your order is at least 44 product points?* This field is required.Orders that are 39-43 points will receive a 50% refund. Loyalty dollars can be applied to your next order. Click "YES" to confirm you've read the above statement.

YESNO

12

Do you understand that you are in complete control of your account and can cancel your membership for free at any time?* This field is required.By cancelling your membership, you will lose any Loyalty Dollars (free shopping credits). Make sure to use them before cancelling. Click "YES" to confirm you've read the above statement.

YESNO

13

Do you understand that when you do order, a 35 product point minimum must be reached in order to maintain your membership?* This field is required.You can split up your 35 points throughout the month. Just as long as all your orders are equal or greater than 35 points by the last day of each month. Click "YES" to confirm you've read the above statement.

YESNO

14

Do you understand that if you do cancel, you can reactivate your membership for free (after being cancelled for no more than 6 consecutive months), within the year you've paid for?* This field is required.Click "YES" to confirm you've read the above statement.

YESNO

15

Do you understand that a back up order will ship on the 1st of the following month if you forget to order and forget to cancel your membership by the last day of any given month?* This field is required.If you need to cancel your membership, it is best to do so by the last BUSINESS DAY of the month. Click "YES" to confirm you've read the above statement.

YESNO

16

Customize your backup order and set up text/email reminders.* This field is required.I recommend customizing your backup order to things you know you'll need, if it were to ever run out. However, I also recommend signing up for Melaleuca's text message and email reminders so that you will never forget to order. Click "YES" to confirm you've read the above statement.

YESNO

17

WOULD YOU BE OPEN TO LEARNING HOW REFERRING YOUR FRIENDS TO MELALEUCA CAN CREATE A SUPPLEMENTAL INCOME FOR YOURSELF?* This field is required.Click "YES" and I'll email you a quick video to watch and then follow up.

YESNO