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Dear DISTRIBUTION Applicant,

Please fill in your information as required to complete this opt-in signup form in order to keep on receiving important information from us in the future.

Also, you must choose either to accept or do not accept the Distribution Agreement by checking on one of the boxes below. Failing to do so, your application will be delayed or declined.

Thank you for choosing us, we are committed to bringing you our products and service of "More choices, better quality, low price & excellent service. Always"!

Best Regard,



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