Fees Transmission Agent Application
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Name: _______________________
ID:_______________________
Pay Level:_______________________
(Team Captain or Higher)
Currency Region:_______________________
(examples: Europe, or UK, or NZ)
Currency Type:_______________________

I understand that I am required to provide a signed receipt to each person that I am transmitting funds for and that I will transmit all payments within 72 hours of receipt of the funds, to ClubShop Rewards. I agree that I will not profit from or retain any fee for acting as a Transmission Agent. I also understand that if I fail to honor all the provisions of the Abuse and Fraud Policy or the provisions included in this application, that I can have my Fees Transmission Agent title and privilege removed and that I can have the fees that I have received, but not transmitted to ClubShop Rewards, deducted from my commissions or Club Account on behalf of the Partner's that I have received fees from. I also understand that my failure to transmit fees or to abide by the Abuse and Fraud Policy, may result in the termination of my membership.



SignatureDate

Mail to: ClubShop Rewards, 2828 S. McCall Road, Suite 13, Englewood, FL 34224Fax to: 941-475-4081