linktou.s.changeofstatusform（g18us

NAME (Last, First, Initial) PHONE NO.SPOUSE (First, Initial) MOBILE NO.
STREET ADDRESS EMAIL CITY
STATE ZIP CODE
Current Customer (PC) Number
APPLICANT INFORMATION
As an AMSOIL Dealer you are entitled to sell AMSOIL products, register customers and earn commissions.As a new Dealer, I UNDERSTAND AND AGREE that:
1. I am of the age of majority in my state of residence at the time of applica-tion for an AMSOIL Dealership. Upon acceptance by AMSOIL, I will be an Independent Dealer responsible for my own business and for all self-employment, state and federal income and other taxes required by law. I will not be employed by AMSOIL nor covered as an employee with regard to any law, including but not limited to the Federal Insurance Contribution Act, Social Security Act, Federal Unemployment Tax Act and income tax withholding at source.
2. N o purchase is necessary to become an AMSOIL Dealer other than purchase of a Starter K it or Business Manual sold at company cost. I understand that the registration fee entitles me to indemnification in the event of damages resulting from the failure of AMSOIL products to perform properly when used according to the manufacturer’s recommendations and that my Dealership status must be renewed from time to time. I also understand and agree that as a Dealer, I will receive, at no additional cost, a subscription to AMSOIL Magazine , the AMSOIL official company publication, and various product, industry and business information online
3. A MSOIL reserves the right to accept or reject any application.
4. I n a separate attachment hereto, I have described all litigation I am pres-ently or have in the past been involved.
5. I will carefully review the Starter Kit or Business Manual upon receipt, and I will abide by the policies as set forth in the AMSOIL Marketing Plan, as amended from time to time, and acknowledge that they are incorpo-rated herein as part of this Agreement. I further understand AMSOIL, at any time at its discretion, with notification to its Dealers, may amend the AMSOIL Marketing Plan, its Warranties and terms of this Agreement.
6. P enalties may apply and/or my Dealership revoked if I fail to comply with the policies of the AMSOIL Marketing Plan.
7. I must apply to renew my Dealership status and may cancel my Dealer-ship at any time. Upon written notification of cancellation or termination, AMSOIL INC. will repurchase inventory and refund fees in accordance with the policies stated in the AMSOIL Marketing Plan then in effect.SOCIAL SECURITY NO. SPOUSE’S SOCIAL SECURITY NO.OCCUPATION
DATE OF BIRTH
THE AMSOIL BUSINESS SHALL BE OWNED AS: M A SOLE PROPRIETOR M HUSBAND/WIFE JOINTLY
(Application must be mailed. Do not fax.)
925 TOWER AVENUE • SUPERIOR, WI 54880
AMSOIL is registered to collect sales tax in each state where applicable. If you prefer to pay the state sales tax directly to your state revenue department, follow the instructions within the G495 Uniform Sales & Use Tax Certificate.Please check one of the following Dealership options:Option 1
M You paid $10 for a 6-month Preferred Customer Membership and would like to change status to a 6-month $15 Dealership. Submit $5 with this application form.Option 2
M You paid $20 for a 12-month Preferred Customer Membership and would like to change status to a 12-month $30 Dealership. Submit $10 with this application form.Enclosed check #
for $
Visa/Master Card # Expiration Date Complete Name on Card Credit Card Billing Address
Optional
An Upgrade Kit is included in the Dealership price. However, the Business Manual and Literature Pack include numerous resources designed to increase Dealer success. The contents of these resources are available online in the AMSOIL Dealer Zone, or they can be ordered in print form. AMSOIL strongly recommends these materials.
M G700 AMSOIL Dealer Business Manual $45M G1312 AMSOIL Literature Pack $40
Dealer K its, Business Manuals and Literature Packs will be sent to you by AMSOIL INC.M 1-year Dealership renewal $30M 5-year Dealership renewal $120M 10-year Dealership renewal $225
NAME (Last, First, Initial) PHONE NO.SPOUSE (First, Initial) MOBILE NO.
STREET ADDRESS EMAIL CITY
STATE ZIP CODE
Current Customer (PC) Number
APPLICANT INFORMATION
As an AMSOIL Dealer you are entitled to sell AMSOIL products, register customers and earn commissions.
SOCIAL SECURITY NO. SPOUSE’S SOCIAL SECURITY NO.OCCUPATION
DATE OF BIRTH
THE AMSOIL BUSINESS SHALL BE OWNED AS: M A SOLE PROPRIETOR M HUSBAND/WIFE JOINTLY
(Application must be mailed. Do not fax.)
925 TOWER AVENUE • SUPERIOR, WI 54880
As a new Dealer, I UNDERSTAND AND AGREE that:
1. I am of the age of majority in my state of residence at the time of applica-tion for an AMSOIL Dealership. Upon acceptance by AMSOIL, I will be an Independent Dealer responsible for my own business and for all self-employment, state and federal income and other taxes required by law. I will not be employed by AMSOIL nor covered as an employee with regard to any law, including but not limited to the Federal Insurance Contribution Act, Social Security Act, Federal Unemployment Tax Act and income tax withholding at source.
2. N o purchase is necessary to become an AMSOIL Dealer other than purchase of a Starter K it or Business Manual sold at company cost. I understand that the registration fee entitles me to indemnification in the event of damages resulting from the failure of AMSOIL products to perform properly when used according to the manufacturer’s recommendations and that my Dealership status must be renewed from time to time. I also understand and agree that as a Dealer, I will receive, at no additional cost, a subscription to AMSOIL Magazine , the AMSOIL official company publication, and various product, industry and business information online
3. A MSOIL reserves the right to accept or reject any application.
4. I n a separate attachment hereto, I have described all litigation I am pres-ently or have in the past been involved.
5. I will carefully review the Starter Kit or Business Manual upon receipt, and I will abide by the policies as set forth in the AMSOIL Marketing Plan, as amended from time to time, and acknowledge that they are incorpo-rated herein as part of this Agreement. I further understand AMSOIL, at any time at its discretion, with notification to its Dealers, may amend the AMSOIL Marketing Plan, its Warranties and terms of this Agreement.
6. P enalties may apply and/or my Dealership revoked if I fail to comply with the policies of the AMSOIL Marketing Plan.
7. I must apply to renew my Dealership status and may cancel my Dealer-ship at any time. Upon written notification of cancellation or termination, AMSOIL INC. will repurchase inventory and refund fees in accordance with the policies stated in the AMSOIL Marketing Plan then in effect.AMSOIL is registered to collect sales tax in each state where applicable. If you prefer to pay the state sales tax directly to your state revenue department, follow the instructions within the G495 Uniform Sales & Use Tax Certificate.Please check one of the following Dealership options:Option 1
M You paid $10 for a 6-month Preferred Customer Membership and would like to change status to a 6-month $15 Dealership. Submit $5 with this application form.Option 2
M You paid $20 for a 12-month Preferred Customer Membership and would like to change status to a 12-month $30 Dealership. Submit $10 with this application form.Enclosed check #
for $
Visa/Master Card # Expiration Date Complete Name on Card Credit Card Billing Address
Optional
An Upgrade Kit is included in the Dealership price. However, the Business Manual and Literature Pack include numerous resources designed to increase Dealer success. The contents of these resources are available online in the AMSOIL Dealer Zone, or they can be ordered in print form. AMSOIL strongly recommends these materials.
M G700 AMSOIL Dealer Business Manual $45M G1312 AMSOIL Literature Pack $40
Dealer K its, Business Manuals and Literature Packs will be sent to you by AMSOIL INC.M 1-year Dealership renewal $30M 5-year Dealership renewal $120M 10-year Dealership renewal $225。