Tri Nature Independent Consultant Application

Your Name*

First NameLast Name

Business Name (if applicable)

Registered for GST?*

YesNo

ABN (if applicable)

Date of Birth

Mobile Phone*

Other Phone

Area CodePhone Number

Address

Street Address

Street Address Line 2

Town/SuburbState

Post Code

Delivery Instructions - your orders are shipped by courier and will be left if you are not home. Please advise a safe place to leave your order, i.e. front verandah, at back door, etc.

0/30

I wish to receive promotions and updates via email to help the environment in line with Tri Nature's Policy.*

Yes, I agree.No, I do not wish to receive communication.

Email*

example@example.com

Please pay my bonus payments into my:*

My Tri Nature AccountBank Account

If Bank Account, please provide your details

Account Name

BSB

Account Number

Independent Consultant Starter Bundle

The Tri Nature Independent Consultant Starter Bundle includes a large range of our most popular products from each of the ranges. It's the perfect way to get to know the products and work out your favourites!

RRP of this entire pack is $526.39 but for new Consultants it's reduced to $270 including freight!

I will be emailing/phoning through extra products to go along with this application.*

YesNo

My preferred method of payment for this application and order*

Credit Card - VISA/MasterCard/AMEX (payment processing below)Bank Transfer (Tri Nature Pty Ltd, BSB: 012 780, Acc No: 2065 92937, Reference: NEW 'Your Surname')

Please choose from either of the two COMPULSORY options (you will need to select an option again below if paying via Credit Card).*

Option 1 - 1st year registration and downloadable Information Manual = $50Option 2 - Independent Consultant Starter Bundle = $270

Tri Nature Independent Consultancy Terms and Conditions.

Please acknowledge your agreement to the terms and conditions by selecting below.*

I would like to be an Independent Consultant of Tri Nature Pty Ltd. Please charge my payment method for the items requested. I have read & agree to the terms and conditions included with this application. I agree that I do not currently have an interest in any other Tri Nature account.

Please sign here to acknowledge your agreement to the terms and conditions.*

Enter the message as it's shown*

Please select your packs to pay via credit/debit card or PayPal.

Tri Nature Information Manual (Download) + 1st year registration$50.00AUD

You will be able to download the information manual when you are provided a wholesale account login.

Independent Consultant Starter Bundle$270.00AUD

Total $0.00AUD

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.