PURE HERBS, LTD.™ DISTRIBUTOR APPLICATION AGREEMENTDistributor Application Agreement • June 23rd, 2015
Contract Type FiledJune 23rd, 2015ARE YOU AN N.D.? Y / NARE YOU AN IRIDOLOGIST? Y / N EMAIL ADDRESS: IN ORDER TO PROCESS APPLICATION, SIGNATURE OF APPLICANT & TAX INFORMATION IS REQUIRED. SIGNATURE: DATE: