Untitled Document

PLACEMENT/ PERSONAL SPONSOR CHANGE FORM

1) This form is being used to request a placement Personal Sponsor change both placement and Personal Sponsor change

2) See the Policy Manual for the policies governing these changes.

Requesting Member-distributor name ______________________________________
ICS ID# __________________________________________
Telephone number _____________________________________

Member-distributor is to be placed beneath ____________________________________________
ICS ID# ____________________

Member-distributor is to be personally sponsored by ______________________________________
ICS ID# ____________________

Name of Member-distributor being moved ________________________________
ICS ID#____________

Signatures

______________________________________ Notarized:______________________
Personal sponsor
ID#____________

______________________________________ Notarized:______________________
Upline sponsor
ID#____________