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Member Application Form
PERSONAL INFORMATION
 First Name *  Last Name * Prefix*
Mr.   Mrs.   Ms.
 Address ( Mailing Address) *
  street address, P.O. box, company name, c/o, apartment, suite, unit, building, floor, etc.
 Country  City *  State *  Zip Code *
 Birthday
 Contact Numbers
 Mobile :
  format: (xxx) xxx - xxxx
 Home :
 Fax :
 Email Address : *
  e.g. youremailaddress@yahoo.com
 Confirm Email Address : *
Please answer the following questions
How did you hear about us? :
Interests and Hobbies :
  Separated by Semicolon e.g. Surfing the web; Photo Editing; etc..
Do you have prior sales experience? :
Why do you believe you would be a successful HST Member?
How often do you use the internet?
Daily
1 to 3 times per week
Once every two weeks
Once a month
Occasionally
Never
How often do you blog and/or follow blogs?
Daily
1 to 3 times per week
Once every two weeks
Once a month
Occasionally
Never
On a scale of 1 to 5, 5 being the highest, how would you rate your interest or involvement in the following?
 Fitness: exercise with regularity
1 2 3 4 5
 Take Vitamins or other dietary supplements on a regular basis
1 2 3 4 5
 Social interaction, networking, outgoing personality
1 2 3 4 5
Are you legally entitled to work in the U.S.?
Yes No
Within the past five (5) years, have you been convicted or plead guilty to a crime?
Yes No
If yes, please explain

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