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WVenrollment

This enrollment form collects personal information such as name, date of birth, contact details, and mailing/shipping addresses from an individual joining a membership program. It lists various membership plan options with different monthly fees, and allows the individual to select a payment method of credit/debit card, ACH draft, or direct deposit from their bank account. It also collects the mother's maiden name and invites the individual to join text message updates from their sponsoring team.

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islandboyempire
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
62 views1 page

WVenrollment

This enrollment form collects personal information such as name, date of birth, contact details, and mailing/shipping addresses from an individual joining a membership program. It lists various membership plan options with different monthly fees, and allows the individual to select a payment method of credit/debit card, ACH draft, or direct deposit from their bank account. It also collects the mother's maiden name and invites the individual to join text message updates from their sponsoring team.

Uploaded by

islandboyempire
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ENROLLMENT FORM

Name__________________________________________________

Date of Birth ______________

Home Number ____________________ Cell ______________________ Work ___________________


Social Security Number __________________________ Email _________________________________
Mailing Address________________________________ Shipping Address ________________________
If different from mailing address

City

________________________________

State _________________ Zip ____________

City ________________________
State _________ Zip __________

Webpage Name ___________________________________________.worldventures.biz


Mothers Maiden Name _______________________ Application credited to _____________________
(Person who invited you)

o
o
o

Dreamtrips Only Membership $199.99 + 26.99 per month


DreamtripsLife Only Membership $199.99 + 54.99 per month
DreamtripsLife & RBS $299.95 + 65.98 per month GET 4 AND PAY NO MORE!!

o
o

NEW DREAMTRIPS U YOUNG ADULT PROGRAM (18-25)


DreamtripsU Only Membership $99.99 + 20.99 per month
DreamtripsU & RBS $124.98 + 26.98 per month

DEBIT/CREDIT CARD

VISA

A
C
H
D
R
A
F
T

D
E
P
O
S
I
T

Mastercard

Amex

Credit Card # ________________________________________________________________________


Expiration Date: ___________________ Name on Card : _____________________________________
Billing Address _________ (check if same as above) __________________________________________
3 or 4 digit CVV @ Code on Card ______________

Name of Bank _________________________________________________________________________


Name on Account ______________________________________________________________________
Account Number _________________________________ Routing Number ______________________
Bank account used for DIRECT DEPOSIT of COMMISSIONS
Do you want to receive team text messages? YES NO (circle one)

WELCOME to the TEAM!

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