This Error Correction Request form is to be used by Member-distributors to report sponsorship errors from telephone sign-ups. This form must be received within 14 days of sign-up. Any form received after the deadline or not filled out completely will not be accepted. All reasons for errors must be valid and are subject to investigation. ICS will make the change at their discretion.

Member-distributor being moved (please print): ________________________________

ID# __________________________________

Signature of Member-distributor being moved: ______________________________

Notarized: __________________________________

Personal Sponsorship
Wrong Personal Sponsor: ____________________________________________
ID# __________________________________
Correct Personal Sponsor: ____________________________________________
ID# __________________________________

Placement Sponsorship
Wrong placement sponsor: __________________________________________
ID# __________________________________
Correct placement sponsor: __________________________________________
ID# __________________________________

Reason for error: __________________________________________________________________________________________________________________________________________________________________________________________________

We, the undersigned, affirm that the above information is true and we accept all future ramifications of such a change.

Wrong Personal Sponsor signature: ________________________________
Notarized: __________________________________
Correct Personal Sponsor signature: ________________________________
Notarized: __________________________________
Wrong Assigned Sponsor signature: ______________________________
Notarized: __________________________________
Correct Assigned Sponsor signature: ______________________________
Notarized: __________________________________