Eft Form
Eft Form
PHILIPPINES ONLY
If you wish to receive your Philippine Herbalife earnings through Direct Deposit (Electronic Fund Transfer (EFT)) the following must be followed:
Attach a bank statement, bank book front page or deposit slip verification.
Your account Holder Name should reflect the same information that is currently stored in the Herbalife system.
All changes will be made upon compilation of this form and processing by Herbalife. Please allow 10-14 business days for processing.
Note: If you are already set up for EFT and need to make changes to any of your banking information, please contact Herbalife Member Services.
Please consult the RP Career Book/IBO for complete information on necessary documents required to receive Herbalife earnings.
Check
Member Information
Last Name
Mobile Phone
Bank Name
First Name
Home Phone
Account Number
All personal data provided on this Form shall be treated as confidential by Herbalife and Herbalife will take reasonable steps to ensure that the information collected from you remains secure.
However, since no data transmission can be guaranteed 100% secure, Herbalife shall not be held responsible for any loss, damage or harm done or suffered as a result of any breach of
confidentiality relating to the information you provided to Herbalife.
The information provided in this form shall be used for internal purposes in relation to transmitting funds to you through the EFT. Herbalife may also use the information to update its other
records or it may be necessary from time to time for certain information about you to be disclosed to other offices of Herbalife and its affiliates, agents or third parties for purposes relating
directly or indirectly to your membership. Such information may, if required be sent to parties outside Philippines. If you have any questions regarding the foregoing, please contact Member
Services at the number above.
By completing this form, signing below and faxing or mailing it back to Herbalife, I authorize Herbalife to deposit my net earnings entitlement and any other sums due to me in the blank
account identified above. This authorization shall remain valid, effective and binding on me until and unless revoked by me in writing, via fax/mail and such revocation has been received by
Herbalife. I understand and agree that Herbalife shall have no liability whatsoever for any incorrect information provided by me in this Form and for any failure of any deposit to reach my
account in a timely and accurate manner, except that Herbalife will fully cooperate with me to rectify such error if the error was due to Herbalifes fault.
I have read and understand the above terms. Accepted and declared by:
Applicants Signature: _______________________________________________________
Members have Herbalifes permission to duplicate this document
Date: ___________________________________________