Thank you for your interest in becoming a Strega Luna Partner! Please read and fill out ALL sections of this Agreement.
This is a Legal Independent Contractor Agreement so please be sure to read the Terms and Conditions & Disclaimer at the links provided below.
 You will also receive a copy of these by email after you submit your agreement form. Thanks!!
Start Registration
 
Today's Date *

 
What Country Do You Reside In? *


 
If Other, Where?

 
Preferred Language *


 
Are You Male or Female? *

This is not required but helpful for Strega Luna's Marketing Purposes :)

 
First Name *

 
Last Name *

 
Shipping Address *

What Address will you have your packages shipped?
 
City *

 
State *

 
Zip Code *

 
Cell Phone *

example
856-617-1577
 
Home Phone *

example 856-617-1577
 
Business Name

(if you have a business already)
 
Business Phone

with area code (if any)
example 856-617-1577
 
Your Website Address (if any) *

Web URL that you are currently doing business on or plan on doing Strega Luna Business on
 
Social Security # or EIN Number *

Required to receive a 1099 Form at the end of the year. (no dashes or spaces please)
 
is this your SS# or an EIN Business Number? *


 
Date of Birth *

example: 03/05/1970
 
What interested you in becoming a Strega Luna Practitioner? *

Tell me why you want to be part of Strega Luna Metaphysical Shoppe and Magickal Home Gatherings? What is it that attracted you?
 
Approximately how many hours do you plan on working on your Strega Luna Metaphysical Business? *


 
Which Sales & Marketing Channels do you plan on using to sell products & recruit other Practitioners? *


 
Please tell us what type of events you plan on attending. Feel free to elaborate and be specific how you plan on networking and marketing. *

Example: Psychic Expos, Spiritual Events, Health & Wellness, etc.
 
Would you like to be a Build Your Tower Monthly Member? *

You will be automatically billed $49.95 monthly before shipping takes place.
     
 
Which Starter Kit Would You Like to purchase for your Strega Luna Business? *

See your introduction for description of kitsSee website starter kits for details of each package :)

 
What type of Credit Card are You Using for Payment? *


 
IF you are using Paypal, please tell me your paypal address so your payment is recognized. *

Paypal Email Address will also be used for monthly bonus and incentive payments
 
Please provide your credit card number for billing purposes. *

Sample: 4444-3333-2222-1111
This will only be kept on file if u are a Build Your Tower Member
 
Credit Card Expiration Date *

Example:  05/20 or 12/20
 
3 Digit Code on back of Credit Card *

see image to find code
 
Credit Card Billing Address *

This is required for credit card approval
 
Automatic Billing Agreement *

By signing this form, I agree to allow Strega Luna to automatically withdrawal funds electronically for my starter kit using the credit card provided.
See Practitioner Introduction for description of Kits.

If I opted in to be a Build Your Tower Member, I agree to allow Strega Luna to withdrawal funds automatically and electronically on the 1st of every month. I understand that a cancellation form  is required to cancel any automatic withdrawal payments. (see next page)
     
 
Cancellation RIghts *

I may cancel this agreement for any reason at anytime with 30 days by submitting a completed Cancellation Form to Strega Luna bearing my original signature. printed name, address and IC Member Number. Cancellation Form received by Strega Luna on or before the 23rd of the month will be effective the month received. Cancellation forms received after the 23rd  of the month, will be effective the following month.

Cancellation Forms must be mailed to our corporate office at:

Strega Luna Metaphysical Shoppe
Member Services Dept.
206 Highland Ave
Sewell, NJ 08080
     
 
Electronic Signature & Agreement *

By typing your name in this box, you agree to all of the terms and conditions in this agreement including the permission to bill agreement.

You also agree to receive updates and newsletters from Strega Luna that contain Practitioner Only Specials & Customer Specials, Newsletters and other information pertaining to building your business with Strega Luna. I know I can unsubscribe from these notifications at any time.

By typing your name in the box below, it is considered a legal binding signature to this agreement to become an Independent Contractor (Practitioner) for Strega Luna and receive a 1099 Form yearly for any sales made through Strega Luna.
--------------------
I agree that I am an Independent Contractor for Strega Luna. I am responsible for paying my own taxes and relieve Strega Luna dba A Crystalwish Co from any type of liability for medical, tax or liability issues that result from my business.

Please Type Your Name Below.
Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform