Pl easeent erassi gnedI BO I Dnumberi fpr er egi st er ed onl i neatwww. uboxl i ve. com orbyphone( 877)2434035 101840 TAYNOR DAVID * Soc i al Sec ur i t yNumber-Fai l ur eoft hepr i mar yr egi s t r antt opr ov i deaSoc i al Sec ur i t yNumberwi l l r es ul ti nwi t hhol di ngaper c ent ageofal l bonuspay ment s .Emai l Addr es s-Tor ec ei v eor derc onf i r mat i ons , pr oduc tupdat esands pec i al of f er s ,i ti si mpor t antt hatUboxhasauni qeemai l addr es sf orev er yI BO.Uboxwi l l nots har et hi si nf or mat i onwi t hanynonaf f i l i at edt hi r dpar t i esors endanyunwant edemai l s . Hasei t heroft her egi s t r ant sev erbeenaf f i l i at edwi t hUbox ? Yes I f“ Yes”pl easepr ovi dedat eofl astact i vi t y:Mont h_____________ No Year___________ Whati syourpr ef er r edl anguagef orsel ectcommuni cat i onswhenavai l abl e? UboxBus i nes sSer v i c es&Suppor t * Wel comePr oductki t *( i ncl udi ngdel i ver ychar ge) $50. 00 $399. 00 Engl i sh Spani sh Kor ean Pr evi ousI DNo. Mandar i n Russi an Cashi er ’ sCheck/ MoneyOr der( encl osed) Mast er Car d® Vi sa® Di s cov er ® CARDNUMBER SUBTOTAL Sal esTax( asappl i c abl e) TOTAL * Theopt i onalWel comePr oductKi thel psj umpst ar tyourbusi nessby i nt r oduci ngyout oourpr oduct .TheBusi nessSer vi ces&Suppor tf ee i sf ul l yr ef undabl ewi t hi n90daysofUbox’ sr ecei ptofpayment . Cash Amer i canExpr ess® Di ner sCl ub® EXPI RATI ONDATE( mmy y ) ( PLEASETYPEORPRI NT)CARDHOLDER’ SNAME CARDHOLDER’ SSI GNATURE AGREEMENTTO MEDI ATEANDARBI TRATEDI SPUTES-UboxLi ve( ” Ubox” )andi t sI BOsmut ual l yagr eet or esol veal lcl ai msanddi sput esar i si ngoutoforr el at i ngt oanI ndependentBusi ness,t heI BO Cont r act sasdef i nedi nRul e1. 1oft heUboxRul esofConduct( ” Rul e”or“ Rul es” ) ,aswel lasdi sput esi nvol vi ngBusi nessSuppor tMat er i al s( ” BSM” ) ,asdef i nedi nRul e7,undert heDi sput eResol ut i on Pr ocedur esdescr i bedi nt heRul es,speci f i cal l yRul e11.TheRul esshal lbepar toft hi sI BO Regi st r ai nAgr eement( ” Agr eement ” )andar eI ncor por at edbyr ef er ence.Acopyoft heRul esi savai l abl et o r evi ewatwww. uboxl i ve. com Iagr eet osubmi tanydi sput eImayhavewi t hanot herI BO,f or merI BO,orUboxasdef i nedi nRul e7,t oconci l i at i onunderRul e11. 4.If ur t heragr eet hati fanycl ai m ordi sput ecannotber esol vedby goodf ai t hef f or t si nconci l i at i onunderRul e11. 4.Iwi l lsubmi tanyr emai ni ngcl ai m ordi sput ear i si ngoutoforr el at i ngt omyi ndependentBusi ness,t heI BO Cont r act ( i ncl udi nganycl ai m agai nst anot herI BO,af or merI BO oranysuchI BO’ sof f i cer s,di r ect or s,agent s,orempl oyeesoragai nstUboxCor p.andanypar ent ,subsi di ar y,af f i l i at e,pr edecessor ,orsuccessort her eof ,oranyoft hei r of f i cer s,di r ect or s,agent s,orempl oyees)t obi ndi ngar bi t r at i oni naccor dancewi t hRul e11. 5.Thear bi t r at i onawar dshal lbef i nalandbi ndi ngandj udgementmaybeent er eduponi tbyanycour t ofcompet entj ur i sdi ct i on.Demandf orar bi t r at i onshal lbemadewi t hi n2year saf t ert hecl ai m ar ose,buti nnoeventaf t ert hedat ewhent hei ni t i at i onofl egalpr oceedi ngswoul dhavebeenbar r ed byt heappl i cabl est at ut eofl i mi t at i onssubhectt ot het ol l i ngpr ovi si oni nRul e11. 5. 5.Iacknowl edget hatt hi sAgr eementevi dencesat r ansact i oni nvol vi ngi nt est at ecommer ce.TheFeder alAr bi t r at i on Actshal lappl yi nal lcasesandgover nt hei nt er pr et at i onandenf or cementoft hear bi t r at i onr ul esandar bi t r at i onpr oceedi ngs.Theagr eementt oconci l i at eandar bi t r at eunderRul e11i sr eci pr ocaland bi ndsUboxandI BOs. TheAr bi t r at or ,andnotanyf eder al ,st at eorl ocalcour toragencyshal lhaveexcl usi veaut hor i t yt or esol veanydi sput er el at i ngt ot hei nt er pr et at i on,appl i cabi l i t y,enf or ceabi l i t yorf or mat i onoft hi s Agr eement ,i ncl udi ng,butnotl i mi t edt o,anycl ai mt hatal loranypar toft hi sAgr eementi svoi dorvoi dabl e. REGI STRAI NT( S)-Icer t i f yt hatal loft hei nf or mat i onabovei scompl et eandcor r ect ,i ncl udi ngmysponsor i ngI BO.Ihaver eadandagr eet oadher et ot het er msoft hi sAgr eement ,i ncl uudi ngt heUboxTer ms andCondi t i ons.Ineedonl ysel ectt heBusi nessSer vi ces&Suppor tpor t i onoft heUboxRegi st r at i onPackaget obecomeanI BO.Icer t i f yt hati ndeci di ngt obecomeanI BO Ihaver el i edsol el yont heear ni ngs r epr esent at i onsandi nf or mat i oncont ai nedi nt hePl an.Icer t i f yt hatIhaver eadanduder st oodt heUboxBusi nessOppor t uni t y. REGI STRANT’ SSI GNATURE* COREGI STRANT’ SSI GNATURE( i fappl i cabl e) Ret ur nI nst r uct i ons:Af t eryouhaver eadt heI BO Regi st r at i on Agr eement ,ver i f i edt hei nf or mat i onyouar esuppl yi ngi scompl et e andsi gnedt heagr eement ,f axt hesi gnat ur epaget oUboxat ( 877)2434035ormai lt oCust omerSer vi ce( 58C2A) ,18662MacAr t hur Bl vd.Sui t e105I r vi ne,CA92612.Ret ai nacopyf oryourr ecor ds * Regi s t r ant ( s)mus tbe16orol der( seeRul esofConduc t ;Rul e3. 5) .I funder18, ent herbi r t hdat e( s )( mmddy y)her e:
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