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U.S. Nutrition Club Notification Form                     nutrition club

CLUB NAME, SIGNAGE, WINDOW AND DOOR COVERING REQUIREMENTS

Distributors operating Nutrition Clubs from non-residential locations are required to submit a Notification Form to Herbalife, at least 30 days prior to the official opening date of their Club.

WHY DO I NEED TO SUBMIT A NOTIFICATION FORM?

Submitting your Notification Form will help you stay connected with the latest news and updates on Nutrition Club trainings and promotions. This notification process will allow Herbalife to review your proposed Club name, signage, window and door covering ideas prior to your Club’s opening date and avoid premature expenditures that may not be compliant with Herbalife’s Rules of Conduct and Distributor Policies.

As stated in Herbalife’s Nutrition Club Rules, Nutrition Clubs are not franchises.

Therefore, their overall appearance must be unique to avoid the appearance of a franchise.

DO I NEED TO SUBMIT ADDITIONAL INFORMATION WITH MY NOTIFICATION FORM?

Yes. Please, submit the following with your completed

Notification Form:

For planned Nutrition Clubs located in a non-residential location:

• A drawing of each exterior sign.

• A drawing of each window and door covering (curtain or shade).

• A brief description, including the dimensions, locations and the number of signs and window and door coverings needed.

For existing Nutrition Clubs located in a non-residential location:

• Photos of each exterior sign.

• Photos of each window and door covering (curtain or shade).

• A brief description, including the dimensions, locations and the number of signs and window and door coverings needed.

• An overall photo that captures the entire exterior of the Club’s structure and any signage or message visible to passersby.

PRIMARY NUTRITION CLUB OPERATOR

Only one Distributor is responsible for submitting a Nutrition Club Notification Form. This Distributor is considered the Primary Nutrition Club Operator. Additional Club Operators may be listed on the Notification Form. A Notification Form is required for every non-residential Nutrition Club location.

WHERE DO I SUBMIT MY NOTIFICATION FORM AND ADDITIONAL INFORMATION?

For your convenience, there are three (3) simple ways to submit your Notification Form and the additional information required:

1) Email: DECUSNutritionClubs@Herbalife.com.

2) Mail:  Herbalife International of America, Inc.

                 Attention: DEC

                 950 W. 190th Street

                 Torrance, CA 90502

3) Fax: (310) 216-5145.  Please do not submit your photographs by fax. They need to be sent via email or mail. 

Distributors operating Nutrition Clubs from residential locations are also encouraged to submit a  Notification Form.

HERBALIFE                            Nutrition for a better life.

© 2011 Herbalife International of America, Inc. All rights reserved. Printed in USA. Nutrition Club Notification Form WW6703-US

Dec 2011 US English Rev 10

U.S. Nutrition Club Notification Form        nutrition club

PRIMARY (MAIN) NUTRITION CLUB OPERATOR’S INFORMATION:

PRIMARY (MAIN) NUTRITION CLUB OPERATOR’S INFORMATION:

Last name:

First name:

Primary Distributor ID#:

Team level:

Country:

Club type: Residential Non-Residential

Primary language spoken in Club: English Spanish

Club Address:

Suite #:

City:

State:

Zip:

The Club is: Existing or Planned

Date of opening or estimated opening:

I have a Club name:

I do not have a Club name

I previously submitted this form, but have an update/change to my Nutrition Club

name, signage and/or window coverings.

I am closing or have closed my Nutrition Club. Date of closure:

I wish to change the Primary Operator

*For changes to the Primary Distributor, both Distributors must sign* this form.

Proposed Primary Operator’s Name:

Proposed Primary Operator’s #ID:

Seating capacity:

Main contact number:

Alternate contact number:

Website:

Email:

Averaged daily

consumption/memberships:

Club hours of operation

Club is open all day Monday – Friday:  —to —

OR daily hours of operation:

Morning: —-to —–Afternoon: —-to—-Evening: —-to—–

Club is open all day Saturday:  —to —

OR daily hours of operation:

Morning: —to —Afternoon: —-to—-Evening: —to—-

Club is open all day Sunday: —to —

OR daily hours of operation:

Morning: —to —Afternoon: —-to—-Evening: —to—-

Comments:

How did you learn about the Nutrition Club Rules?

Upline

Other Distributor

At a training

IBP Books

Other

What percentage of your business comes from the Club?

Number of additional Distributors who operate the Club?

Additional Club Operator information

Distributor name:

Distributor ID#:

Team level:

Distributor name:

Distributor ID#:

Team level:

If there are more than two (2) Operators for your Club, submit them on a separate page.

For marketing purposes only, select Business Methods

conducted at this Club.

Weight Loss Challenge

Total Plan

Wellness Coach method

Other

I acknowledge that I have reviewed and understand Herbalife’s Rules of Conduct, and Supplemental Rules, which include Nutrition Club Rules.

Signature:                  Date:

*Signature:                Date:

Please be aware that an incomplete form may delay the signage, window and door covering confirmation process of your Nutrition Club. Failure to submit a Notification Form to Herbalife may result in sanctions to your Distributorship.

Dec. 2011 Rev10

HERBALIFE                               Nutrition for a better life.

© 2011 Herbalife International of America, Inc. All rights reserved. Printed in USA. Nutrition Club Notification Form WW6703-US

Dec 2011 US English Rev 10