Sign Up Form


Please provide the following contact information:  Required fields are in bold

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
Account Type: Ind. Distributor  Wholesaler
E-mail
Please enter the name of who referred you (if applicable):
URL
Resale #


By entering my initial below I agree to the following terms: 

I understand I am an Independent Distributor or Independent Wholesaler of AmerAsia Imports and in no way classified as an employee. Furthermore, I understand that no income or salary is guaranteed to me, my success will depend on my efforts.

I will not misrepresent AmerAsia Imports. Any misrepresentation is subject to immediate termination.

I understand that this agreement can be terminated at any time, by either party, for any reason.  however, if I terminate my contract and later decide to be active again, I must pay the $10.00 re-activation fee.

Inactivity due to non-ordering for the quarter will result in a $10.00 re-activation fee, I agree to pay this fee to become active again.  And I understand I will lose all my downline if I become inactive, and will no longer make any commission on their sales even if I become active later on.

I understand I am responsible for all income taxes on my commissions in my state according to the Dept. of Revenue. I also understand it is my responsibility to obtain my business license and retail tax license from the proper authority. And I am responsible for reporting any commission from AmerAsia Imports to the state and IRS.

I understand that picture and text on AmerAsia Imports products will be made available to me while I am on an active status.  I also understand I must save these graphics on my own hard drive. 

I agree to the shipping, backorder, and refund policies stated on http://www.amerasiaimports.com/faq.htm.

I agree to the terms of AmerAsia Imports Distributor/Wholesale Program.

Please initial here:




 

       


Please come back here to pay the $5 sign up fee after you have submitted the form.  A voucher code will be send to you after payment is received.