Welcome to become an USANA distributor or associate

I agree to buy the "USANA Associate Welcome Kit, English"

(You must agree to be charged 30USD to join USANA Distributor network. )

YES

Personal Details

Your First Name :

Your Last Name :

Gender: ---MaleFemale

Your Email :

Confirm Email :

Date of Birth: mm/dd/year

Social Security Number or ITIN or SIN (Tax ID)*

Shipping and Billing Address (Must Be the Same)

Street Address:

City:

State:

Your Zip Code:

Country: United StatesCanadaAustraliaAustriaAustriaBelgiqueColombiaFranceGermanyHong KongIndonesiaIrelandItalyJapanKoreaMalaysiaMexicoNew ZealandPhilippinesRomaniaSingaporeSpainTaiwanThailandNetherlandsUnited Kingdom

Your Phone:

Payment

Credit Card Type: ---VisaMastercard

Name on Credit Card:

Credit Card Number:

Card Holder Date of Birth: mm/dd/year

Card Verification Number: The Three Digits in the back of your VISA, MasterCard Card.

Expiration Date on Credit Card: mm/yyyy

I am going to become a USANA distributor or associate through foods2young.com. I double checked the information and confirm all the information is correct , and I will pay USANA 30USD to buy the USANA business starter package.