Prostart Funding Application Pfa 0609

28 Cleveland Road Claremont, 7708 Tel/Fax: 021 674 9802 Fax:086 5155 717 Email: [email protected]

CK 2006/200217/23 Applicant's Member Number Introducer's Member Number Introducer's

Name Surname

DETAILS OF APPLICANT Title:

Surname:

First Names:

ID/Passport Number

Date of Birth:

Physical Address:

Postal Address:

Postal Code: Telephone: (w)

(h)

Email address:

Postal Code: Fax: Cell:

BANK DETAILS Account Holder: Branch: Account Type:

Bank: Code: Cheque

Account Number: Savings

Transmission

DECLARATION BY APPLICANT 1. There is an administration fee of R130 to cover the cost of processing the application. 2. There is a 7 (seven) day cooling off period. R125 of the administration fee will be returned, should cancellation be effected within 7 days. 3. The objective of ProStart Funding is to provide monthly funding to a successful applicant for five (5) months, totalling R2500 (Two thousand five hundred Rand). This funding is for the express purpose of enabling the applicant to start his/her network marketing business. 4. To qualify to start receiving funding from ProStart, a member must refer three other applicants, who also join ProStart by paying R130 administration fee. In order to continue to receive the set out monthly funding, a member must have the following number of new applicants in his/her entire group: Month 2 - 9, Month 3 - 27, Month 4 - 81, Month 5 - 243. These applicants can be on any of the member's levels. This is easily achieved by each person introducing their required 3 people. Should the member not achieve this, the monthly funding will stop, and will only resume if and when the required targets are achieved. 5. The cut-off date for new applications is the 15th of each month. The applicant has until the next cut-off date to introduce three other applicants to ProStart Funding. In the case where the next cut-off date is less than 30 days from the date of application, he/she will be given until the following cut-off date to ensure a minimum of 30 days. Should they fail to introduce three new applicants, their membership will lapse, and they will not receive any monthly funding. 6. ProStart Funding may, at its own discretion, alter its available products or funding model with 30 days' notice. Disclaimer: Network Marketing is a business model that carries the potential of large incomes. Any income mentioned by a member of ProStart Funding, during the presentation of this opportunity, is not guaranteed. It is entirely dependant on the time and effort devoted to the programme, as well as the skill, desire and commitment of the member. ProStart Funding is not responsible for the success or failure of your business decisions.

DECLARATION BY APPLICANT: I hereby declare that I have read the declaration, agree with, and understand it:

Application date:………….……………..

Signature of Applicant: ………………..…………………………….. Form No: PFA 0609

Banking Details: Account Name: ProStart Funding, FNB, Acc No 62211461356 Claremont Branch Code 200109