Document 6489996

WorldVentures Marketing, LLC
Representative Agreement
Applicant Information
Full Name (Last, First, Middle) (Individual or Entity Representative) (Required):
Company Name (optional):†
Date of Birth (MM/DD/YY) (must be 18):
Social Security/Tax ID/EIN #:*
Email (Required):
Address (NO P.O. Box):
Address 2:
City:
State:
Home:
Mobile:
Zip:
Work:
Fax:
*Social Security or Federal Tax ID# is required for all Applicants. I certify that this number is my correct taxpayer identification number.
†
Business System
Assumed Names and Business Entities -- If your WorldVentures business will be owned by a corporation, limited liability company (LLC), partnership or
trust, or will be operated under an assumed name (e.g., XYZ Enterprises or John Doe & Representatives), you must complete a Business Entity Registration
Form online and submit it within 30 days from the date this application. The form must be received by the home office via fax or registered mail.
WorldVentures Representative Business System (RBS): $99.95 + $10.99/month*
All Representative Applicants must purchase the RBS (Optional in North Dakota). This online system includes three
Personalized Websites, a Back Office, Online Training Program, access to Sales and Marketing Tools, and a
Representative Welcome Kit.
 Check here to purchase the RBS only (no retail products).
 Check here to purchase the RBS and WorldVentures’ DreamTrips retail product. (See attached Product Order Form)
 Purchase the RBS and WorldVentures’ DreamTrips Life retail product (See attached Form)
Take advantage of the Limited Time $200-Off Promotion!
*First Month’s Fees are charged at time of purchase to payment info on file and automatically thereafter. You may change payment info at any time.
*
PSP
 Get the Premium Service Program (PSP) - Only $29.99/month Try the first month for only $1!
If you’re serious about success with WorldVentures, you need the PSP! You’ll not only get the monthly 3-disc
DriveTime University: Overdrive CDs, but you’ll ALSO receive the bimonthly 32-page Voyager newsletter, a
subscription to SUCCESS magazine (12 issues/year with a CD/DVD DualDisc included), Enhanced Back Office Tools,
and the incredible DreamTeamBuilder online marketing system with video emails, landing pages, contact
management, auto-responders, and on-demand virtual training. Plus, when you refer four of your personally
enrolled Reps to sign up for the PSP, yours is FREE!
*Try the full service for a month for only one dollar ($1). If you like it, simply do nothing and you’ll be billed $29.99/month going forward.

Please Choose ONE Form of Payment. ACH requires copy of a voided or cancelled check be submitted.
ACH
Bank Name: _________________________________________ Bank Telephone: ___________________________
City: ________________________________________________ State: _______ Zip: _______________________
Routing #: __________________________________ Account #: _________________________________________
Credit
Card Type:
MC  VISA  AMEX
Name on Card: ________________________________________
Credit Card#: ________________________________ Exp. Date: _____/_____ 3- or 4-Digit Security Code: _______
Billing Address: ________________________________________________________________________________
City: ___________________________________________ State: ________ Zip: __________________________
I understand that I have the right to terminate my WorldVentures independent business at any time, with or without reason,
by sending written notice to the Company at the address below. I have read and understand the Terms & Conditions listed
here and on the back of this page and agree to abide by them. I affirm that none of the spaces intended to be filled out by
me have been left blank. I understand that any intentional misrepresentation of any information I provide on this
Representative Application may result in action by WorldVentures, up to and including termination of this Agreement. I am
aware that I am entitled to a copy of this Agreement at the time I sign it. I may cancel this transaction at any time prior to
midnight of the third business day after the date of this transaction (5th business day if I reside in AK; 30th day if I reside
in KY; 15th day if I reside in WI). I authorize WorldVentures to charge my credit card or checking account identified above for
the order selected above and to immediately withdraw monthly fees for the product I have selected.
Applicant’s Signature: ___________________________________________________
ENROLLER USE ONLY
 Received Rep Kit, Ship to Enroller.
–or–
Date: __________________
 Ship to Address: ____________________________________________
Enroller Name: ____________________________________________________ Enroller ID# or Username: ____________________________________
Binary Placement: Name: ___________________________________________ ID#: ___________________ Left
Right
Notes: _____________________________________________________________________________________________________________________
Top Copy – For Enrolling Rep to Input into the System
Bottom Copy – Customer Copy
5360 LEGACY DR., BUILDING 1, SUITE 300 • PLANO, TX • 75024
PH 972. 805.5100 • FAX 972.767.4039 • WWW.WORLDVENTURES.COM
Ver 5.1 Rev 2011
Representative Terms and Conditions
1. I understand that as a WorldVentures Representative:
a. I have the right to offer for sale WorldVentures products and services
in accordance with these Terms and Conditions.
b. I have the right to enroll persons in WorldVentures.
c. I will train and motivate the Representatives in my downline marketing
organization.
2. I agree to present the WorldVentures Compensation Plan and
WorldVentures products and services as set forth in official WorldVentures
literature.
3. I agree that as a WorldVentures Representative I am an independent
contractor, and not an employee, partner, legal representative, or
franchisee of WorldVentures. I am not authorized to and will not incur any
debt, expense, obligation, or open any checking account on behalf of, for,
or in the name of WorldVentures. I agree that I will be solely responsible for
paying all expenses incurred by myself, including but not limited to travel,
food, lodging, secretarial, office, long distance telephone and other
expenses. I UNDERSTAND THAT I SHALL NOT BE TREATED AS AN
EMPLOYEE OF WORLDVENTURES FOR FEDERAL OR STATE TAX
PURPOSES. WorldVentures is not responsible for withholding, and shall
not withhold or deduct from my bonuses and commissions, if any, FICA, or
taxes of any kind.
4. I have carefully read and agree to comply with the WorldVentures
Policies and Procedures and the WorldVentures Compensation Plan, both
of which are provided by WorldVentures on its website and are
incorporated into and made a part of these Terms and Conditions (these
three documents shall be collectively referred to as the “Agreement”). I
understand that I must be in good standing, and not in violation of the
Agreement, to be eligible for bonuses or commissions from WorldVentures.
I understand that these Terms and Conditions, the WorldVentures Policies
and Procedures, or the WorldVentures Compensation Plan may be
amended at the sole discretion of WorldVentures, and I agree that any such
amendment will apply to me. Notification of amendments shall be published
in official WorldVentures materials. Amendments shall become effective
upon notice to all Representatives. The continuation of my WorldVentures
business or my acceptance of bonuses or commissions shall constitute my
acceptance of any and all amendments.
5. The term of this Agreement is one year from the date of its acceptance
by WorldVentures. The Agreement shall thereafter automatically renew for
successive one year terms unless either I or WorldVentures provides the
other party with at least 30 days written notice of non-renewal. If either I or
WorldVentures elects to not renew the Agreement, or if it is canceled or
terminated for any reason, I understand that I will permanently lose all
rights as a Representative. I shall not be eligible to sell WorldVentures
products and services nor shall I be eligible to receive commissions,
bonuses, or other income resulting from the activities of my former
downline sales organization. In the event of cancellation, termination or
non-renewal, I waive all rights I have, including but not limited to
property rights, to my former downline organization and to any
bonuses, commissions or other remuneration derived through the
sales and other activities of my former downline organization.
WorldVentures reserves the right to terminate all Representative
Agreements upon 30 days notice if the Company elects to: (1) cease
business operations; (2) dissolve as a business entity; or (3) terminate
distribution of its products and/or services via direct selling channels.
6. I may not assign any rights or delegate my duties under the Agreement
without the prior written consent of WorldVentures. Any attempt to transfer
or assign the Agreement without the express written consent of
WorldVentures renders the Agreement voidable at the option of
WorldVentures and may result in termination of my business.
7. I understand that if I fail to comply with the terms of the Agreement,
WorldVentures may, at its discretion, impose upon me disciplinary actions
as set forth in the Policies and Procedures. If I am in breach, default or
violation of the Agreement at termination, I shall not be entitled to receive
any further bonuses or commissions, whether or not the sales for such
bonuses or commissions have been completed.
8. WorldVentures, its parent or affiliated companies, directors, officers,
shareholders, employees, assigns, and agents (collectively referred to as
“affiliates”), shall not be liable for, and I release WorldVentures and its
affiliates from, all claims for consequential and exemplary damages. I
further agree to release WorldVentures and its affiliates from all liability
arising from or relating to the promotion or operation of my WorldVentures
business and any activities related to it (e.g., the presentation of
WorldVentures products or Compensation and Marketing Plan, the
operation of a motor vehicle, the lease of meeting or training facilities, etc.),
and agree to indemnify WorldVentures for any liability, damages, fines,
penalties, or other awards arising from any unauthorized conduct that I
undertake in operating my business.
9. The Agreement, in its current form and as amended by WorldVentures at
its discretion, constitutes the entire contract between WorldVentures and
myself. Any promises, representations, offers, and other communications
not expressly set forth in the Agreement are of no force or effect.
10. Any waiver by WorldVentures of any breach of the Agreement must be
in writing and signed by an authorized officer of WorldVentures. Waiver by
WorldVentures of any breach of the Agreement by me shall not operate or
be construed as a waiver of any subsequent breach.
11. If any provision of the Agreement is held to be invalid or unenforceable,
such provision shall be reformed only to the extent necessary to make it
enforceable and the balance of the Agreement will remain in full force and
effect.
12. This Agreement will be governed by and construed in accordance with
the laws of the State of Texas, without regard to principles of conflicts of
laws. All disputes and claims relating to WorldVentures, the Representative
Agreement, the WorldVentures Compensation Plan or its products and
services, the rights and obligations of an independent Representative and
WorldVentures, or any other claims or causes of action relating to the
performance of either an independent Representative or WorldVentures
under the Agreement or the WorldVentures Policies and Procedures shall
be settled totally and finally by arbitration in Dallas, Texas, or such other
location as WorldVentures prescribes, in accordance with the Federal
Arbitration Act and the Commercial Arbitration Rules of the American
Arbitration Association, except that all parties shall be entitled to discovery
rights allowed under the Federal Rules of Civil Procedure. All issues related
to arbitration shall be governed by the Federal Arbitration Act. The decision
of the arbitrator shall be final and binding on the parties and may, if
necessary, be reduced to a judgment in any court of competent jurisdiction.
Each party to the arbitration shall be responsible for its own costs and
expenses of arbitration, including legal and filing fees. This agreement to
arbitrate shall survive any termination or expiration of the Agreement.
Nothing in the Agreement shall prevent WorldVentures from applying to
and obtaining from any court having jurisdiction a writ of attachment, a
temporary injunction, preliminary injunction, permanent injunction or other
relief available to safeguard and protect WorldVentures’ interest prior to,
during or following the filing of any arbitration or other proceeding or
pending the rendition of a decision or award in connection with any
arbitration or other proceeding.
13. The parties consent to jurisdiction and venue before any federal or state
court in Dallas County, State of Texas, for purposes of enforcing an award
by an arbitrator or any other matter not subject to arbitration.
14. Notwithstanding the foregoing, Louisiana residents may bring an action
against the Company with jurisdiction and venue as provided by Louisiana
law.
15. Montana residents may terminate this Agreement within 15 days and
receive a 100% refund of the Representative Business System purchase
price.
16. If a Representative wishes to bring an action against WorldVentures for
any act or omission relating to or arising from the Agreement, such action
must be brought within one year from the date of the alleged conduct giving
rise to the cause of action. Failure to bring such action within such time
shall bar all claims against WorldVentures for such act or omission.
Representative waives all claims that any other statutes of limitations
applies.
17. I authorize WorldVentures to use my name, photograph, personal story
and/or likeness in advertising/promotional materials and waive all claims for
remuneration for such use.
18. I understand that participation in WorldVentures does NOT guarantee
or assure any profits or success. I certify that no such representations of
income or success have been made to me by WorldVentures or any
Independent Representative.
19. By completing and submitting this Application, I specifically authorize
WorldVentures, Inc. to communicate with me by electronic mail at the email
address I have entered on the front of the Application. I understand that
such emails may include offers and solicitations for the sale and purchase
of WorldVentures products, sales aids, and services.
20. A faxed copy of the Agreement shall be treated as an original in all
respects.
NOTICE OF CANCELLATION
DATE OF TRANSACTION: ___________
Customer Name (Please Print): ___________________________________________
You may CANCEL this transaction without penalty or obligation, within THREE BUSINESS DAYS from the above date (Five business
days if you reside in Alaska, thirty days if you reside in Kentucky, and fifteen days if you reside in Wisconsin). If you wish to cancel
this agreement, you may do so by delivering or mailing a written notice to WORLDVENTURES. To prove that you canceled, it is
recommended that you send the notice by certified mail or overnight delivery. If you deliver the notice personally, you are entitled to a
receipt. Your notice must state that you do not wish to be bound by the agreement. Be sure to keep a photocopy of the notice of
cancellation which you mail. Notice of cancellation, if given by mail, shall be deemed to be given as of the date the mailed notice was
postmarked. If you cancel, any property traded in, any payments made by you under the contract of sale, and any negotiable
instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the seller of your cancellation notice,
and any security interest arising out of the transaction will be cancelled. To cancel this transaction, mail or deliver a signed and
dated copy of this Cancellation Notice or any other written notice, or send a telegram to WorldVentures, 5360 Legacy Dr., Building 1,
Suite 300., Plano, TX 75024 NOT LATER THAN MIDNIGHT OF the third business day following the date set forth above.
I HEREBY CANCEL THIS TRANSACTION.
Signature: ___________________________________________________ Date: _______________
Top Copy – For Enrolling Rep to Input into the System
Bottom Copy – Customer Copy
5360 LEGACY DR., BUILDING 1, SUITE 300 • PLANO, TX • 75024
PH 972. 805.5100 • FAX 972.767.4039 • WWW.WORLDVENTURES.COM
Ver 5.1 Rev 2011