75,$/

Case 3:15-cv-01857-SI Document 409-9 Filed 10/15/20 Page 1 of 3
ITEM NAME PRICE QTY AUTOSHIP

Balance Kit $49 □

Crunch Kit $99 □

Vi Crunch Protein Super Cereal 

(14 Serving Pouch)

$39 □

Vi Crunch Fusions Tri-Berry (7 Servings Per Cup) $9 □

Vi Crunch Fusions Chocolate Macadamia 

(7 Servings Per Cup) $9 □

340 E. Big Beaver Rd Suite 400, Troy, MI 48083 • Customer Service 1.877.VISALUS • vi.com

© 2014 ViSalus, Inc. All rights reserved. 1000US31 4.14_r20 ENG

“I’M A 3!” 

Independent Promoter Application FAX FORM TO 1.877.547.1570

SELECT YOUR MONTHLY CHALLENGE KIT

JOIN OUR TEAM

Executive enrollment Autoship orders will be processed and shipped 

starting the next month on the selected date. Basic enrollment 

Autoship orders will be processed and shipped with your enrollment 

package. If selected date lands on a weekend or holiday, orders will 

be processed on the last business day prior.

Challenge Kits will be charged and shipped this month for the Basic Promoter System and next month for the Executive or Star Promoter Systems.

Applicant Signature: X __________________________________________________________________ Date: ____________________________________________________________________________

I understand that to become an Independent Promoter (IP) of ViSalus I am only required to submit this Agreement. I further acknowledge that my advancement in the ViSalus marketing plan is based solely upon the sales of ViSalus product. My purchase of sales aids or training material, or attendance at training classes, is strictly optional 

and at my discretion. I also understand that if I choose to enroll or sponsor other individuals to participate in ViSalus’ marketing plan, I will only be compensated based upon the activities of other IPs to the extent of their sales made to customers.

By my signature below, I acknowledge that I have carefully read this Agreement, and I am willing to accept the terms and conditions herein and on the reverse side. I understand that the terms of this document shall be a binding Agreement between ViSalus and me upon receipt of this Agreement. I have read and understand 

ViSalus’ Policies and Procedures and Compensation Plan, which are incorporated by reference herein, and agree to abide by them and any amendments thereto which maybe made from time-to-time.

I UNDERSTAND THAT I MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION AT ANY TIME, FOR ANY REASON. I UNDERSTAND THAT MY NOTICE OF CANCELLATION MUST BE SUBMITTED IN WRITING TO THE COMPANY AT ITS PRINCIPAL BUSINESS ADDRESS. PLEASE SEE OTHER SIDE FOR TERMS.

Billing Information:

Full Name on Credit Card:

Credit Card Number:

Expiration Date: / / Security Code:

Card Type: 12. Visa 12. MasterCard 12. American Express 12. Diners Club 12. Discover

Cardholder Signature:

I authorize ViSalus to charge my account for the amount listed. I promise to pay such amount to and in agreement governing the use of such card. I understand that 

ViSalus will apply taxes, shipping and handling charges to my order. If the order is Autoship or a monthly Vi-Net Subscription, I authorize ViSalus to ship/charge 

these products monthly. Cancellations must be submitted at least 5 days prior to the Autoship date or Vi-Net billing date.

Billing Address:

City: State: Zip: 

Enroller ID # Enroller Name: 

The Enroller is an existing ViSalus Independent Promoter (VIP) who refers a new VIP. The Enroller can place the new VIP anywhere in the depth of his/her organization. Once the enrollment process is complete the Enroller can add/change sponsor information in the “Waiting Room” found in Vi-Net.

Last Name: First Name:

Birth Date: / / SSN or Tax ID: Gender: 12. Male 12. Female

Company Name*:

*If doing business as a legal entity, complete and attach the Company Enrollment Form. (Required)

Home Phone #: Mobile Phone #:

Mobile Phone Provider: Required for ViSalus Mobile Updates (SMS)

E-mail Address:

Receive ViSalus News & Updates via: Check at least one 12.Phone 12.Email 12.Mobile Text Message (SMS) 12.None

Language Preference: 12. English 12. Spanish 12. Both

Shipping/Mailing Address: 

City: State: Zip: 

$49

$99

PURCHASE YOUR $499 $999 CHALLENGE KIT2

FROM $49–$299

30 Vi CrunchTM Protein Super Cereal 

single-serving packets 

30 Vi-Shape® Nutritional Shake Mix 

single-serving packets 

60 Challenge Brochures

+

BASIC

SAMPLING PACK

EXECUTIVE PROMOTER SYSTEM

EVERYTHING IN THE 

EXECUTIVE PLUS:

CHALLENGE BROCHURE

Vi-SHAPE SAMPLES

WEEKLY BONUS POOLS

LIFETIME CHALLENGE BONUS

ND $5k BONUS

PD $10k BONUS

AMB $25k-$1 MILLION BONUSES

FASTEST WAY 

TO QUALIFY FOR:

SHAPE FUEL TRANSFORMATION FIT FUEL CORE

WEIGHT-LOSS

ACTIVE/FITNESS

$999

330 Vi CrunchTM Protein Super Cereal single-serving packets 

330 Vi-Shape® Nutritional Shake Mix single-serving packets 

660 Challenge Brochures

 STAR SAMPLING PACK

STAR PROMOTER SYSTEM

$99 SAVE $37

$1.50/meal, Twice a day $2.50/meal, Twice a day $2.50/meal, Twice a day $ $4.00/meal, Twice a day 6.00/meal, Once a day $5.00/meal, Twice a day

$149 SAVE $37 $249 SAVE $90 $149 SAVE $37 $199 SAVE $79 $299 SAVE $110

RETAIL VALUE $675 RETAIL VALUE $1,875

SELECT YOUR AUTOSHIP DATE:

5th 12th 19th of each month

+20 +100

+50

See Product Price Sheet for Item Numbers and pricing information.

ADDITIONAL PRODUCTS

 25%

OFF

All Promoter Systems include an automatic subscription to Vi-Net Pro and Success 

Club for $29/mo! To change or cancel, call ViSalus Customer Service at 1.877.VISALUS

$29 PER MONTH

Fuel your success promoting The Challenge 

with Vi-Net® Pro. Access Vi Training for hours of 

video tips and inspiration from top Promoters 

and leadership authors, manage your business 

anywhere and use cutting-edge marketing tools 

right from the palm of your hand with Vi-Net®

Mobile, accessible by any smartphone.

Your Vi-Net Username and Password will be 

sent to you via email.

Vi CRUNCH SAMPLES +50

+ CHALLENGE MAGAZINE

+35

+10 +10

A must-have to launch your business NEW

and Challenge others!

The fastest way to Rising Star!

$4.00/meal, Twice a day

24

3:15-cv-01857

24-1

Case 3:15-cv-01857-SI Document 409-9 Filed 10/15/20 Page 2 of 3
340 E. Big Beaver Rd Suite 400, Troy, MI 48083 • Customer Service 1.877.VISALUS • vi.com

© 2014 ViSalus, Inc. All rights reserved. 1000US31 4.14_r20 ENG

“I’M A 3!” 

ViSalus Independent Promoter (VIP) Application

FAX FORM TO 

1.877.547.1570

BY JOINING VISALUS THESE ARE THE TERMS YOU HAVE 

AGREED TO. REFER TO THE POLICIES AND PROCEDURES 

FOR DETAILED INFORMATION.

1. I acknowledge that I am of legal age to enter into this Agreement and that I am a real 

person.

2. I understand and acknowledge that this Agreement is not binding until received and 

accepted by VISALUS.

3. I agree that as a Promoter, I am responsible for determining my own business activities 

and that I am not an agent, employee or legal representative of VISALUS. I am 

responsible for the payment of all federal and state employment taxes and any other 

tax required under any federal, state or regulatory law. In the event that I fail to provide 

VISALUS a valid Social Security Number or employer identification number, VISALUS 

may withhold commissions due to me until a valid number is provided.

4. I understand that I am not being sold a franchise or business opportunity.

5. I may terminate this Agreement for any reason, at any time, by giving VISALUS prior 

written notice. VISALUS may terminate this Agreement in writing upon violation of 

policies and procedures or in the event I violate any part of this Agreement. In such 

event, no further commissions will be paid by VISALUS. To terminate this Agreement, I 

must mail or deliver personally to VISALUS, a signed, dated written notice of cancellation 

sent to: 340 E. Big Beaver Rd Suite 400, Troy, MI 48083

6. I agree that as a VISALUS Promoter, I shall place primary emphasis upon the sale 

of Products and Services to non-Promoter consumers as a condition of my receipt 

of commissions. Commissions I receive will be based upon fulfilling certain terms of 

qualification as set forth by the Marketing Program and Compensation Plans as may 

be amended from time to time. A three ($3.00) dollar processing fee will apply to all 

payments.

7. I agree to keep accurate records and to abide by all federal, state, and local laws and 

regulations governing the sale or solicitation of the products and services marketed 

by VISALUS including, but not limited to, any and all permits and licenses required to 

perform under this Agreement.

8. I understand that no attorney general or other regulatory authority ever reviews, 

endorses, or approves any product, subscription, compensation program or company, 

and I will make no such claim to others.

9. I understand that a $25 Administration Fee will be charged annually to my credit card on 

file with VISALUS. This fee is for services, which include, but are not limited to, downline 

reporting, customer tracking and accounting services. The Administration Fee will 

be charged in the month of my enrollment anniversary and if not paid will result in my 

Promotership being placed on Financial Hold for up to 120 days. If the Administration 

Fee remains unpaid 120 days after it was due, my Promotership will be terminated and 

I will forfeit any commissions that were held since the time I was placed on Financial 

Hold. If my Promotership is terminated, I understand that I must re-enroll as a brand new 

Promoter and will not be placed back in my original spot if I wish to pursue the VISALUS 

opportunity.

10. I agree that VISALUS shall not be liable under any circumstances for any damage or 

loss of any kind, including indirect, special, punitive, compensatory, or consequential 

damages, losses or profits which may result from any cause, including but not limited 

to, breach of warranty, delay, act, error or omission of VISALUS, or in the event of 

discontinuation or modification of a product or service offered by VISALUS. 

11. VISALUS shall periodically make sales literature and/or promotional materials available. 

However, I am under no obligation to purchase any materials or literature at any time. 

Refunds shall not be allowed under any circumstances, including, but not limited to, 

termination of this Agreement, obsolescence of such sales literature or promotional 

materials, or any other reason. Except as specified in paragraph 26.

12. I agree that as a Promoter, this Agreement grants me the limited authority to promote 

and sell the products VISALUS markets subject to the terms and conditions established 

by VISALUS.

13. I will not make any false or misleading statements about VISALUS or its marketing 

program. I agree that I will operate in a lawful, ethical and moral manner and will not 

engage in or perform any misleading, deceptive or unethical practices. In the event I 

violate any of these conditions, my position may be terminated without further payment 

or compensation of any kind.

14. I acknowledge that I am responsible for supervising and supporting Promoters I sponsor 

into the program and in my commissionable network. I agree to maintain monthly 

communication and support to those individuals in my commissionable network through 

written or verbal communication and attendance at meetings.

15. I acknowledge that VISALUS expressly reserves all proprietary rights to the company’s 

trademarks, tradenames, logos (“Proprietary Marks”) and copyrighted materials. I 

understand, acknowledge and agree that any monies which I pay VISALUS are in 

consideration of my receiving a non-exclusive license, during the term of this Agreement 

to use the Proprietary Marks of VISALUS as stipulated in the Policies and Procedures 

and in conjunction with the marketing program provided to me. I further agree that I 

will not use VISALUS Proprietary Marks in any form whatsoever except as permitted 

in writing by VISALUS or in advertising or promotion materials provided, designed 

or published by VISALUS. I understand that I may not photocopy or duplicate any 

materials provided by or purchased from VISALUS without written authorization and 

that the unauthorized use of any Proprietary Mark is a violation of federal law and this 

Agreement, constituting grounds for termination of this Agreement by VISALUS.

16. I understand that as a Promoter, I am free to select my own means, methods and manner 

of operation and that I am free to choose the hours and location of my activities under 

this Agreement, subject only to the terms of this Agreement and VISALUS Policies and 

Procedures.

17. I acknowledge that I am not guaranteed any income nor am I assured any profits or 

success. I certify that no claims of guaranteed profits or representations of expected 

earnings that might result from my efforts have been made by VISALUS or any VISALUS 

Promoters. In this connection, I shall not represent directly or indirectly that any person 

may, can or will earn any stated gross or net amount, nor that sponsorship of others is 

easy to secure or retain, or that substantially all Promoters will succeed.

18. I acknowledge that I have the right to sign up as many personal customers as I wish. I 

will receive a commission each month from my personal customers’ purchases and my 

downline network in accordance with the VISALUS Compensation Plan then in effect.

19. I agree to indemnify and hold harmless VISALUS from any and all claims losses, 

damages and expenses, including any attorney’s fees, arising out of my actions or 

conduct in violation of this Agreement, Compensation Plan or any Policy or Procedure of 

VISALUS. I agree that in order to recoup any damages and expenses it has incurred due 

to such violation(s), VISALUS may offset any commissions or other payments due me. In 

the event a dispute arises as to the respective rights, duties and obligations under this 

Agreement, Compensation Plan or the Policies and Procedures of VISALUS, it is agreed 

that such disputes shall be exclusively resolved in the Circuit Court for Oakland County, 

State of Michigan, or Federal Court located in Detroit, Michigan. Michigan law shall 

apply to the resolution of all disputes. Louisiana residents may choose Louisiana law and 

jurisdiction.

20. I acknowledge that I have read and fully understand the VISALUS Policies and 

Procedures and Compensation Plan, which are incorporated herein by reference and are 

binding upon me. In order to maintain a viable marketing program and to comply with 

changes in federal, state or local laws or economic conditions, VISALUS may revise its 

Compensation Plan and Policies and Procedures from time to time. All changes thereto 

shall be effective upon verbal or written notice to me and become a binding part of this 

Agreement. The home office prior to use or publication must approve all advertisements 

using the Proprietary Marks of VISALUS.

21. I acknowledge that this Agreement, Compensation Plan and the Policies and Procedures 

incorporated herein by reference, constitute the entire Agreement between the parties 

and shall not be modified or amended except in writing signed by VISALUS. This 

Agreement shall be binding upon and inure to the benefit of heirs, successors, and 

permitted assigns of the parties hereto. If any provision of the Agreement is determined 

by any authority of competent jurisdiction to be invalid or unenforceable in part or in 

whole for any reason whatsoever, the validity of the remaining provisions or portions 

thereof shall not be affected thereby.

22. I agree to abide by the terms of the noninterference and non-disclosure policy of 

VISALUS.

23. During the term of this Agreement (and any renewals), I will not sell any other products 

for any entity competing with VISALUS. I agree that I no longer promote any other 

organization that utilizes a multi-tiered compensation plan. 

24. During the term of this Agreement (and any renewals) and for one (1) year thereafter, 

I understand and agree that I will not contact, solicit, or recruit any VIP, whether active 

or inactive, into any organization that utilizes a multi-tiered compensation plan. This 

includes indirect recruiting through Facebook or other social media. I acknowledge that 

my violation of this provision will result in immediate termination of my Promotership and 

payments of any kind.

25. I understand that if for any reason a VIP violates any of the terms of the Agreement and/

or these Policies and Procedures, VISALUS reserves the right to immediately deactivate or 

terminate the VIP’s position. Such action by VISALUS will terminate any and all rights of the 

VIP and any further payments of any kind and is effective at the time of said violation. 

26. VISALUS Executive and Business Opportunity Return Policy: An Independent Promoter 

who cancels their Promotership within 30 days of enrollment may return unused 

products from the Promoter Systems which are unopened and in resalable condition. 

A refund will be issued for the value of the Business Opportunity ($49) and the value 

of unused and saleable products up to $450. If an Independent Promoter cancels their 

Promotership within their first year but more than 30 days after their enrollment date, the 

same guidelines apply however returned, saleable products will result in a product credit 

equal to the discounted value of those products (up to $450) rather than a refund and 

will be subject to a restocking fee.

24-2

Case 3:15-cv-01857-SI Document 409-9 Filed 10/15/20 Page 3 of 3