A NEW and BETTER WAY of DOING BUSINESS and SAVING MONEY
Print this page...Fill out the form...Mail or E-mail to:
PO BOX 39 DEWEY, AZ 86327
Phone: (928) 772-8849
Name: ________________________________________________________________Title: _________________________
Phone ( ) _____________________________ Web: ___________________________________________________
What does your business sell?
Please be specific – List all categories of items you sell or services you provide.
What Personal Items do YOU have that you would like to make available to other Executive Members?
(Real Estate, Cars, Trucks, Boats, Motorcycles, Equipment, Condos, Furniture, Horses, and other items in good condition
Please be specific – List all details and prices at fair market value.
HOW DO I BECOME AN ARIZONA DOLLARS MEMBER?
All you do is make your products and/or services available to other Members. (You can even make personal items available.)
YOU CAN JOIN FREE IN THE MONTH OF JULY...BY SIMPLY RETURNING THIS FORM TO OUR OFFICE BY MAIL, E-MAIL or YOU CAN CALL US.
As an ARIZONA DOLLARS EXECUTIVE MEMBER, I will…
(1) Accept 100% ARIZONA DOLLARS from other EXECUTIVE MEMBERS and 50% from those who are not
(2) Spend ARIZONA DOLLARS with other EXECUTIVE MEMBERS at 100%. (EXECUTIVE MEMBERS must show their
EXECUTIVE MEMBER Card when purchasing)
(3) Receive EXECUTIVE MEMBER Card(s) which entitle(s) me and my staff to make purchases from other EXECUTIVE
MEMBERS with 100% ARIZONA DOLLARS. Number of ID Cards Needed _____
(4) Receive $250 ARIZONA DOLLARS when a Business I Refer or Sign becomes an ARIZONA DOLLARS Member
(5) As an ADDITIONAL BONUS … I understand I have the option to participate in the ARIZONA DOLLARS BASIC
INCOME PROGRAM by paying a ONE-TIME Fee of $50 to $500 and RECEIVE UP TO $500 ARIZONA
DOLLARS EVERY MONTH with NO OTHER FEES or DUES EVER.
_____ I choose to participate in the ARIZONA DOLLARS BASIC INCOME PROGRAM-(Choose one option below)
_____ ONE-TIME $50 FEE (NO OTHER FEES or DUES EVER) (RECEIVE $50 ARIZONA DOLLARS EVERY MONTH)
_____ ONE-TIME $100 FEE (NO OTHER FEES or DUES EVER (RECEIVE $100 ARIZONA DOLLARS EVERY MONTH)
_____ ONE-TIME $150 FEE (NO OTHER FEES or DUES EVER (RECEIVE $150 ARIZONA DOLLARS EVERY MONTH)
_____ ONE-TIME $250 FEE (NO OTHER FEES or DUES EVER (RECEIVE $250 ARIZONA DOLLARS EVERY MONTH)
_____ ONE-TIME $500 FEE (NO OTHER FEES or DUES EVER (RECEIVE $500 ARIZONA DOLLARS EVERY MONTH)
(make check payable to ARIZONA DOLLARS)
Name: _____________________________ Title: _________ Signature: ___________________________________ Date: ___________
Referred or Signed by ________________________________
YOU CAN USE PAY-PAL to become a MEMBER and RECEIVE ALL the BENEFITS