Healthy Hearts Club

Mail In Application      Mail In $60 Auto Ship Form     

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Fill out the following application and get your website.

Sponsor Information:  Healthy Hearts Club -- HC1001
SSN#: 
First Name: 
Last Name: 
Company Name: 
Address: 
City: 
State: 
Zip: 
Country: 
Home Phone: 
Fax: 
Email: 
Password:
First 6 Numbers Of Social Security Number

 
By electronically sending this form I acknowledge the following:

(I hereby apply to become an independent contractor of Healthy Hearts Club
for $70.00 US I understand my $70.00 is purchasing a lifetime membership in
Healthy Hearts Club($10.00)for which I will receive a membership kit and all
forms needed to assist me in my new business venture as well as 3 Healthy
Hearts Club websites.As well I will receive one $60.00 product of my choice.

 (B) One $60.00 product of my choice. Please click here for more indepth details.

(2) I have read, understand and agree to abide by the provisions which are printed on this application agreement. I have also read the Membership Terms and Conditions and acknowledge that by sending this electronic form I have agreed to abide by both of them. It is also understood that this electronic application is acknowledged as a binding contract between Healthy Hearts Club and myself.

(3) I understand that in order to collect commissions, I am required to: (A) Personally enroll 2 new members in Healthy Hearts Club. (B) I am required to purchase one $60.00 product each month. For details
on our autoship program please click here.



By Submitting This Form I Agree That I Have Read And Agree To The Members Rules And Agreement.  Click Here To Read.

When you press the Submit button below, a web site will be created for you. You must also from the next page place your order. Print out the AUTOSHIP forms below and send them to Healthy Hearts Club.

Mail In Application      Mail In $60 Auto Ship Form

Payment Options