UBAH Consultant Application
and Kit Order Form
Fill out and mail to:
P.O. Box 470663, Tulsa, OK 74147-0663
1-800-611-1655 • 918-622-4522 • Fax 918-663-2525

OFFICE USE ONLY

Consultant# _________________

QD __________ EB __________

I hereby apply to become a Consultant of Usborne Books At Home ("UBAH" and the "Company"), I am at least 18 years of age  and I have completed the UBAH Consultant Application and Kit Order Form. Upon acceptance of the Kit Order Form and Consultant Agreement ("this agreement") by UBAH through issuance of a consultant identification number and in consideration of UBAH granting me the right and privilege to sell UBAH products, I agree to the following terms and conditions.
I understand that I have to sell at least $85.00 net within my "Training Period" or I have to pay the difference in the price between the retail value and the amount I paid for my kit. I understand that my earnings and success will depend upon my successful sale of UBAH products and my recruiting of other successful consultants. I will receive earnings and rank title according to the commission structure and information chart set forth under the UBAH consultant handbook. I agree that UBAH may, at its sole discretion, revise the handbook (including provisions concerning profits and other earnings) from time to time; my continued engagement in selling UBAH products after such revisions constitutes my agreement to these revisions. 1. I am a self-employed independent contractor and not an employee, representative or agent of Usborne Books at Home or any other consultant. I understand that my spouse can sign on this agreement or at a later date as a partner and I cannot "recruit" him or her. I will be solely and personally responsible for all Federal, State and Local taxes on income I receive as a UBAH consultant. My business as a UBAH consultant will be in every respect independent of the Company’s business and of any other business, and I will conduct it as such. 2. I agree to be bound by any amendments or additions sent to me from time to time. I will conduct my business in accordance with the Company’s trademark policies and advertising regulations set out in the UBAH handbook. Except for sales literature, which UBAH sells or otherwise provides me, I will not use or otherwise display trademarks or tradenames of UBAH in any type of advertising or literature without UBAH’s prior written permission. I understand that UBAH is committed to ensuring that UBAH independent salespersons establish a successful business. I further acknowledge that the success of UBAH and its independent salespersons depend on direct selling methods to consumers. Therefore, I will not sell UBAH products to or through retail stores or other fixed commercial establishments. I will comply at all times with reasonable instructions given to me by the Company in relation to the ordering of product for resale for my business as an UBAH consultant. I will conduct my business as an UBAH consultant in an ethical and honest manner and do nothing which may harm or damage the reputation of my business or the Company, or bring the Company into disrepute. I will not make any claims for the Company’s products or business which are not set out in the Company’s literature or directions. 3. I may terminate this agreement at any time by giving the Company ten (10) days written notice. Where written notice of termination is given, the Company will buy back product of marketable inventory within twelve months of the salesperson’s date of purchase at not less than 90% of the salesperson’s original net cost less appropriate set-offs and legal claims, if any, which was purchased by that salesperson for resale prior to the date of termination of the salesperson’s business relationship with the Company. Products shall not be considered for return if not commercially marketable; or if the Company clearly discloses prior to purchase that the products are seasonable, discontinued or special promotion products and are not subject to the repurchase obligation. Your rights are subject to the Company’s right to require the payment of all sums paid or credited to you as a bonus in respect of any such product. 4. I may sponsor other prospective UBAH consultants according to the information chart in the UBAH handbook.  5. The Company may terminate this agreement immediately if there is a breach, violation or a default of any provisions in this agreement. The agreement is automatically terminated upon my death, insolvency or bankruptcy.
I hereby agree and acknowledge that I have read and understand this Consultant Agreement.

Signature _____________________________________ Date ____________________ Social Security #________________________________
PLEASE TYPE OR PRINT CLEARLY
Name __________________________________
(Last, First, MI)
Ship to Address (we cannot ship to a P.O. Box)
Address ________________________________ Address ________________________________
City/State/Zip ____________________________ City/State/Zip ____________________________
Country (if APO/FPO address)________________
Phone __________________________________ Sponsored By Sandy Klersy T0851
% Sales Tax ______County Name ____________ Supervisor Patti Stephen C0934
(Base Kit Includes)    Select Kit: UBAH Base Kit_____ UBAH Kit "Special" for ______________(month)
Kit Price $___________ _____Disc_____MC_____VISA_____ CK#_______
Add S/H $___________ #__________/__________/__________/__________
Subtotal $___________ Expiration Date ______________________________
Add ____ % Tax $___________ Name on Card _______________________________
Total Due $___________ Signature ___________________________________