WorldVentures™ Representative Agreement
Applicant Information
Full Name (Last, First, Middle)
†
Company Name (optional):
Date of Birth (MM/DD/YY) (must be 18):
Email (Required):
Social Security/Tax ID/EIN #:*
Address (NO P.O. Box):
Address 2:
City:
State:
Home:
Work:
Mobile:
Zip:
Fax:
*Social Security or Federal Tax ID# is required for all Applicants. I certify that this number is my correct taxpayer identification number
Sponsor Name: ___________________________________________________ Sponsor ID#: ______________________________
Or Username
(circle one)
Placement:
Right
Under Name: _________________ ID#: ____________ Left
Notes: ____________________________________
Side
Side
†
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 and Representatives), you must complete a Business Entity
Registration Form and submit it within 30 days from the date this application. The form must be received by the home office via fax, email
(support@worldventures.com) or reg. mail to 18352 Dallas Pkwy #136-366, Dallas, TX 75287
WorldVentures™ Representative Business System (RBS): $99*
All Applicants must purchase a WorldVentures Representative Business System (Optional in North Dakota). The Representative
Business System is an online system that includes a Personalized Website and Back Office as well as an online Training Program
with essential Sales and Marketing tools to help you build your WorldVentures business. The RBS purchase price is discounted
to $25 (savings of $74) with purchase of either the WorldVentures DreamTrips™ Membership or the WorldVentures RTA
Tutorial Package. To obtain the RBS discount, an Applicant must submit a WorldVentures Order Form with this Application
and Agreement.
*$99 Annual Renewal Fee is required, $25 with purchase of a product
 Check here if you are submitting the Product Order Form with this Application and Agreement.
Credit Payment
ACH Payment
**Please Choose ONE Form of Payment. **
**ACH REQUIRES COPY OF A VOIDED OR CANCELLED CHECK BE SUBMITTED TO WORLDVENTURES**
Bank Name: _________________________________________ Bank Telephone: ___________________________
City: ________________________________________________ State: _______ Zip: _______________________
Routing #: __________________________________ Account #: _________________________________________
Card Type*:
MC  VISA  AMEX  DISC
Name on Card: _________________________________ Credit Card#: ___________________________________
Exp. Date: ______/______
3-Digit CVV2 Code: _______ Billing Phone Number: _________________________
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
th
th
th
business day if I reside in AK; 30 day if I reside in KY; 7 day if I reside in Puerto Rico; 15 day if I reside in WI). I authorize
WorldVentures, LLC to charge my credit card identified above for all orders selected above.
Applicant’
s Signature: ____________________________________________________ Date: __________________
WorldVentures™ 4975 Preston Park Blvd #550 Plano, TX 75093 fax: 972.985.6842
Rev. 2006 1.9
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 as provided by WorldVentures on its website.
Both of which 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 provide the other party with at least 30 days written notice of nonrenew. 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
nonrenewal, 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 action 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, or 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’
s 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. Puerto Rico residents may terminate this agreement within 7 days and receive a 100%
refund of the Representative Business System purchase price.
17. 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.
18. 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.
19. 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.
20. 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.
21. A faxed copy of the Agreement shall be treated as an original in all respects.
NOTICE OF CANCELLATION
DATE OF TRANSACTION: ______________
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, seven days if you reside in Puerto Rico, 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,
LLC, 18352 Dallas Pkwy #136-366 Dallas, TX 75287 NOT LATER THAN MIDNIGHT OF the third business day following the date set forth above.
I HEREBY CANCEL THIS TRANSACTION.
Customer Name (Please Print): ___________________________________________________
Signature: ___________________________________________________ Date: ____________
WorldVentures™ 4975 Preston Park Blvd #550 Plano, TX 75093 fax: 972.985.6842
Rev. 2006 1.9