Credit Card Application - WLLC MY LOTTO BIZ

“WLLC – Credit/Debit Card Application”

“The World’s Largest Lotto Club”

Credit Card Application to Join

Important! You must know your Sponsor’s Name (Invited By) and Sponsor’s ID Number

If you do not know your Sponsor’s Name and/or ID Number, get back to the person who invited you or call the Quarterly Connection office at 719-655-2630 to help you.

WLLC Credit/Debit Card Application

Sponsor Information

Sponsor Name (Invited By)

Sponsor ID #

Your Information

First Name

Last Name

This is your legal name for your commission checks.

Your Name — how you want it to appear on your Flyer

This is how your name will print on the flyer.

Mailing Street Address or PO Box

City or Town

State

Zip Code

Your Phone Number (For office use only)

Do you want your Phone Number on your Flyer for better response?

Yes No

Click here if you would like email verification.

Your Email Address (For office and verification use only)

When your Credit/Debit Card is processed successfully, we will send verification to the email address provided.

Note: There is an $11 Processing Fee when you use a Credit/Debit Card for a total of $170.
We accept: VISA – MC – DISC – AMEX

Your Name as written on the card

Card Number

Expiration Date

CVC Code

CVC Code is 3 digit number located on the back of your card. American Express cards have a 4 digit number located on the front of the card.

By my Signature, I agree all sales are final and that there are Absolutely No Refunds. You agree that by “Typing your Name” it becomes your legal Signature.

Signature (Type your Name)

Date

Note: All information must be provided in order to “Download and Print

Sponsor Name (Invited By)

Sponsor ID #

Your Information:

First Name

Last Name

Your Name how you want it to appear on your Flyer

Mailing Street Address or PO Box

City or Town

State

Zip Code

Your Phone Number (For office use only)

Do you want your Phone Number on your Flyer for better response?

Yes No

Your email address (For office use only)

Note: There is an $11 Processing Fee when you use a Credit/Debit Card for a total of $170.

We accept: VISA – MC – DISC – AMEX

Your Name as written on the card

Card Number

Expiration Date

CVC Code

Note: CVC Code is 3 digit number located on the back of your card. American Express cards have a 4 digit number located on the front of the card.

By my Signature, I agree all sales are final and that there are Absolutely No Refunds. You agree that by “Typing your Name” it becomes your legal Signature.

Signature (Type your Name)

Date

Note: All information must be provided in order to “Download and Print

WLLC

“WLLC – Credit/Debit Card Application”

“The World’s Largest Lotto Club”

Credit Card Application to Join

WLLC Credit/Debit Card Application

Important Notice

Important Notice