OTH Member Membership Enrollment Form

Order Number

OTH “Free” Member Enrollment Form

Your Membership Benefits Include…. Free Access To All OTH On-Line Store Sites(s), “Free” OTH Member Site Portal @ www.oth-store.com, “Free” OTH Member Site Portal @ OTH Adult Site (Add-On Service), “Free” OTH Member Client Portal @ www.othsite.com/othmbrportal, “Free” OTH Business Material Site Login, “FREE” OTH Member On-Line Doc System, OTH Member Resale License, “FREE” Access to the OTH Merch Site, Daily, Weekly, & Monthly OTH Deals, Special PROMO’s & Discounts for OTH Members, Know About Special Sales one (1) week before anyone else, Early Sale Purchasing, Free OTH Newsletter(s) Weekly/Monthly, Special Member Product Pricing/Discounts, Exclusive OTH Products & Prices/Discounts, Special Financing Available, OTH Layaway Program Available (for certain items), Free Shipping on All Orders $50+, Receive a $15 OTH Store Credit to use for OTH Product Purchases (one time use, available after enrollment completed 100%), Commissions Payouts From Customer Product Order(s), Free & Discounted OTH Events, Access to Our OTH Leads, “Free” Member Training, “Free” Conference Call Training, OTH Email (at a monthly cost $17.99 a month), You will have access to all our OTH Products Plus More!

* = Required

*** Member Personal Info

Member Name: *

Full Legal Name

Member Current Billing Address: *

Street #/Name, Apt#/Suite#/Building#, City. State, Zip

Is The Shipping Address The Same As The Billing Address?: *

Yes No

Pick One

Member Current Email: *

custemail@email.com

Member Current Phone#: *

(###)###-####

How Does The Member Want To Be Contacted By: *

Pick One

Member Phone Type: *

Pick One

Member Preferred Language: *

Pick One

Member DOB: *

mm-dd-yyyy

Member Zoning:

Pick One

Is There A Joint Account To Add: *

Yes No

Pick One

Member Gender: *

Pick One

Member Last 4 of Your SSN: *

###-##-#### (You Must Be 18+ to Join)

Click to View The OTH Member/Customer Zone Map – – – OTH MBR/Cust Zone MAP #1

Where You Referred By Another OTH Member: *

Yes No

Pick One

**** Create Your FREE OTH Account

**** OTH Will Email You With Your OTH Member ID#, User Name and Passwords For Your OTH Store Site And OTH Member Client Portal Log-In Info Also With The Links. Please Allow 24-48hrs For OTH to Complete Your Enrollment 100%

Create A 4 Digit Calling Pin *

####

Which OTH Sites Are You Enrolling With?:

OTH Store Site

OTH Adult Site

Check All That Apply

There Are No Extra Cost To Select/Join Both OTH Sites.

Do You Want Access To The OTH Merch Shop?: *

Yes

Check One

There Are No Extra Cost To Select the OTH Merch Shop

Would You Like To Sign Up For Any Other OTH Sites/Stores As A Free Customer?

OTH Auction Site

OTH Dollar Shop

OTH Deals

OTH Local Artist Shop/Site

Check All That Apply

There Are No Cost To Join These OTH Sites

** This User Name & Password will be used on all OTH Sites/Shops/Portals that you sign up for.

Create Your User Name: *

Example: First Letter of First Name Then Last Name “JDOE”

Create Your Password: *

Must be between 8 and 16 characters long, Include at least 1 letter and 1 number; letters and numbers only

Security Question #1: *

Pick One

Security Answer #1: *

Security Question #2: *

Pick One

Security Answer #2: *

Security Question #3: *

Pick One

Security Answer #3: *

*** Create Your Profile

Would You Like To Upload Your Profile Pic and Create Your BIO Now for Your Profile?: *

Yes No

Pick One

By Electronic Signing & Dating Below, You Agree That It Is You Filling Out This Form, And You Agree That All Info Provided To OTH Is 100% Correct And True. Any False Info Can Result In termination Of Your Account With OTH. Please Check The YES Box To Continue Submitting This Form To OTH.

By Checking Yes, You AGREE To OTH Membership Terms & Conditions. You Agree to follow these OTH Terms & Conditions/Policies 100%. Please click on the link below to review the OTH Terms & Conditions. Print For your Records.

Click To View/Read The Over The Horizons “OTH” Independent Member Terms & Conditions

I Agree To The Terms & Conditions *

Yes

Direct Deposit Form

* = Required

How Do You Want Your Commissions Paid?: *

Select One

OTH Webmail Set Up Section

* = Required

The OTH Webmail Service is for OTH Members Only. For OTH Members Use Only. There is a $17.99 Monthly Fee. 500 MB Mailbox Quota. *** this monthly rate and mailbox quota can change at anytime.

Would you like to purchase a OTH Webmail Email?: *

Yes No

You Have Made a Great Choice to Join OTH! Welcome to the Family!
Some one from our OTH Enrollment Dept will be sending you a Welcome Email/Letter with-in 24-48hrs with all your log-in Info. Please keep checking your email for that Welcome Letter/Email. (If you have not received it, check your Spam Folder)