Welcome to the IndusViva Inc. Please read the IndusViva Distributor Application & Agreement and Policies and Procedures carefully, collectively referred to as the “Agreement.”
E-Sign, the Electronic Signatures in Global and National Commerce Act (15 U.S.D. 7001, et seq.), requires that you consent to entering into an electronic agreement with IndusViva Inc. before a distributor Application & Agreement can be executed.
• To access these documents and submit your online Distributor Application, you will need a personal computer or Mac with Internet access and operational Internet browser software.
The Tax ID number must match the name as shown on your income tax return to avoid backup withholding. For individuals, this is your social security number.
Please verify the information submitted on your enrollment form. If correct, acknowledge by checking the box below, which will serve as your digital signature. For further information, please see the official IRS W9 form instructions: http://www.irs.gov/pub/irs-pdf/fw9.pdf
Under penalties of perjury, I certify that:
I consent to the use of electronic records and have read, understand and agree to the IndusViva distributor Agreement and Policies and Procedures.