logomatol.GIF (32753 bytes)

Welcome to the Univera Matol Botanical Distributor Enrollment Center!
You will be taken to the new sign-up area in 10 seconds

Where you may purchase Univera Matol Products At Cost!
Just click on enroll at the top of the page buy wholesale


homeoff.GIF (526 bytes)

historyoff.GIF (912 bytes)

productsoff.GIF (773 bytes)

businessoff.GIF (946 bytes)

customersoff.GIF (715 bytes)

orderoff.GIF (539 bytes)

linksoff.GIF (492 bytes)

contactoff.GIF (727 bytes)

aboutoff.GIF (553 bytes)


matolban2.GIF (7150 bytes)

Matol Botanical International Distributor Robert Veliky

robert@matolproducts.com

Section A

Business Name:

Applicant A
Federal I.D. Number/SSN/SIN: Date of Birth: Month/day/year
Last Name: Language Preferred:
English French Spanish
First Name:

Middle Initial:

Occupation:
Mailing Address:

City:

State/Prov: Zip/Postal Code:

Shipping Address:

State/Prov: Zip/Postal Code:

City:

Home Tel:
Business Tel:
Fax:
E-Mail:

Applicant B
Federal I.D.
Number/SSN/SIN:
Last Name:
First Name:
Middle Initial:
Occupation:
Relation of applicant A to B: Spouse Relative Friend/Business Associate

Has either Applicant A or B previously had an interest in a Matol Botanical International Ltd. Independent Distributorship?
Yes No

Section B

Please Enroll Me As A Univera matol associate:
To Purchase Products More Reasonable

Please check Box$40 + S/H
Start A Home Business
Visa Mastercard International
Money Order*		 Certified Check*
I authorize Univera Matol Botanical International Ltd. to debit my Visa/Mastercard

Credit Card No. 		Name of Card Holder: 3 Digit Security Code located on Back of card
Right hand side
Expiration Date


Include Some Products With Your Registration? You Can Save Money Right Now!
A Minimum Order Of 40 Commissional Points with Your Registration In order to receive the Wholesale price.
Just Copy From The List Below And Paste It Here.

Visa Mastercard International
Money Order*		 Certified Check*

Please Note:
This Distributor Registration & Agreement Form cannot be processed unless this section has been fully completed. You May PRINT Out This Form Also And Mail To Me

Robert Veliky
206 Rowland St.
Philipsburg, PA 16866

Just leave this section blank I will Take care of this!
Section C
Sponsor Information
MB Federal I.D. Number/SSN/SIN:
Last Name: First Name:
Home Tel:
Business Tel:
Fax:
E-Mail:

Section D
This is already filled out for you!

Enroller Information - Distributor Introducing Applicant to Matol
MB Check here if enroller is also Sponsor (If not, complete this section)
Last Name: First Name:
Home Tel:
Business Tel:
Fax:
E-Mail:
We request that all checks for monies earned be issued in: Applicant A's Name Applicant B's Name
Please note: If registered under a business name, cheques will automatically be issued under the business name.


Please read the agreement terms here before submitting this form

I hereby declare that I have read the terms of this Agreement form and that I fully understand and agree to abide by all said
terms. Moreover, I am entitled to cancel my participation in the marketing plan at any timeand for any reason, upon receipt of my written notice by Matol Botanical International Ltd.

..

..