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	PARTNERSHIP
	If you are requesting to be a partner of Egyptian Queen Cosmetics please complete the form in its entirety.

EGYPTIAN QUEEN COSMETICS
"The Ultimate Fashion Experience"

P.O. Box 481127
Charlotte N.C. 28269
Phone: 704-904-7539
Email: egyptianqueenco@aol.com
www.egyptianqueencosmetics.com

Please provide your contact information below.

Your Details

Title:
First Name:
Middle Name:
Last Name:
Personal Email:

Contact Information

Address:
City:
State:
Zip:
Daytime Telephone:
Evening Telephone:
Cell phone:

I am requesting to be a partner of Egyptian Queen Cosmetics:
Partner Type (Check only One):
Priority Partner 20/20 Plan - For $20.00 you will receive 20% off all cosmetics purchased.
Distributor Partner 50/50 Plan - For $50.00 you will receive 50% off all cosmetics purchased plus free gifts, discounts on hotels, restaurants, travel and bonus checks every time you sign up a Priority Partner or Distributor Partner.
Please create your unique Partner Code: {example: 1234}

If you are mailing your form with your check/money order please complete the form and mail to the address above and please remember to sign and date below:

Date: ________________ Signature: ______________________________

Or for immediate processing complete the form and press the Submit Button and then you will be re-directed to our secure Pay Pal site for processing your payment.

For more information, contact the National Business Manager at natibusinessmg@aol.com