Prosper International League Limited PO BOX 1870 WINTER PARK FL
32790-1870 USA Phone: 407-679-2959 Fax: 407-679-5039 Email: pill@pill.net
APPLICATION FOR PILL MEMBERSHIP - Please Print Out and Mail/Fax
"SETTLOR"
FIRST NAME: ___________________________________
LAST NAME: ____________________________________
ADDRESS:___________________________________________________________________
CITY:___________________________________STATE:______________
CODE (ZIP): ___________________________
COUNTRY: _____________________________________
EMAIL: _______________________________________
PHONE: (______) ______________________________
FAX: (______) ________________________________
BENEFICIARY:__________ PLEASE ISSUE BEARER CERTIFICATE
FIRST NAME: __________________________________
LAST NAME:___________________________________________
ADDRESS: ____________________________________________________________________
_____________________________________________________________________
Please Select One
___ $200 PILL-Trust
activated by 3rd referral. $200 commission 3rd and after.
____ $800 PILL-Trust activated and $200 commissions earned immediately on each referral
thereafter.
____ $1000 PIL PLUS-Trust activated & Freedom Card issued by 1st referral-$900
commission 2nd and after
.
PILL/FREEDOM CARD PROGRAM - TERMS AND CONDITIONS
Participation in the PILL/FREEDOM Card Program is
optional. This
program includes a monthly fee of $30 deducted from the trust for
payment of an Internet web page. These funds are paid upline 4
levels @ $5 per level. PILL Trust members can participate in the
program by introducing one additional member at $200 and signing
below. PIL PLUS Trust members are already qualified and simply
need to sign below.
I understand the PILL/FREEDOM Card Program and hereby
authorize
the monthly withdrawals from the trust account:
SIGNATURE:_________________________________________________________
Date: ______________________
METHOD OF PAYMENT (Circle One):
MONEY ORDER - BANK DRAFT - TRAVELERS CHECK - VISA - MASTERCARD
Card Number:______________________________________________
Exp. Date: ______________
Cardholders Signature_______________________________________
I hereby agree to the Terms and Conditions and
authorize the appointed
Trustee to sign the settlement document.
SIGNATURE SETTLOR:___________________________________
DATE: _____________
TERMS AND CONDITIONS - POLICIES AND PROCEDURES
All applications and money orders for membership fees
are sent &
payable to PILL. A 5% processing fee $10 (max) will be charged
for all transfers by PILL to individual trusts.
PILL, PILL/FREEDOM CARD PROGRAM, and PIL PLUS
earnings may only
be transferred into activated trusts.
FAX BACK PROGRAM: Make copies of the application and
payment made
out to PILL, fax to 407-679-5039.
Mail the application and payment to PILL. Your ID #
will then be
faxed or called back to you. You are now in business.
SPONSOR ID # ___21963_____