EPIC Elite Pre-Launch Registration

EPIC Pre-Launch Business Application
WE WILL GROW, LEARN & HAVE FINANCIAL FREEDOM TOGETHER. WE WILL BE EPIC!
LEGAL NAME*
First NameLast Name
Birthdate*
YearMonthDay
Date
Contact Number*
Area CodePhone Number
E-mail Address*
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Who is your Evolution Enterprises Sponsor?*
If you were NOT in Evolution Enterprises OR You do NOT have a sponsor, type NA in the box
Would You Like To Have The Same Sponsor In EPIC?*
If NO type in requested sponsor name in the box
Who do you want your sponsor to be?*
First NameLast Name
PRE-LAUNCH ENROLLMENT: Do you understand that you will be charged $19.95 on September 1, 2020 to process your enrollment? We look forward to working with you to make sure that you get what you want and need out of your experience with Epic International! *
YES, I understand
Name on credit card*
First NameLast Name
Please enter credit card number to charge the $19.95 we accept VISA, AMEX, DISCOVER, MASTERCARD ....... XXXXXXXXXXXXXXXX *
Expiration Date: 0525 for 052025 or May 2025*
CV2 code on the back*
Approval Signature for credit card use: I understand my card will be charged $19.95. If your card declines you will be notified within 24 hours by email. *
Clear
Date*
YearMonthDay
Date
Please verify that you are human*
This form DOES NOT automactically charge your credit card.
The enrollment department will process your payment in the order in which it is received. Your patience is appreciated. Thank you and welcome to Epic!
Questions, comments or special requests? We'd love hear from you, so don't hesitate to reach out today.
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EPIC Pre-Launch Business Application