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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

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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_____

 

 

Join Prosper International Ltd. - Over 27,000 satisfied clients in 110 Countries !
PILL # 21963

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