ANUICE DISTRIBUTORS,

Thank you for your interest in distributing in your area.

The ideal ANUICE® Distributor is someone already selling to pharmacies and/or drug stores, to wholesale drug distributors or an entrepreneur with a desire to sell to pharmacies, medical doctors, and others.

The Distributor should be willing, and able, to invest some capital for the purchase of enough product to place it in at least 50% of the pharmacies and drug stores in the area, and to pay for the initial promotion. In return for the initial investment, our distributors enjoy the EXCLUSIVE RIGHT to sell ANUICE® in their assigned territory, for a period of five (5) years, with automatic option to renew.

As an EXCLUSIVE ANUICE® DISTRIBUTOR you can enjoy excellent profits and the assurance of having a growing customer base, because ANUICE® HAS NO COMPETITION and because ANUICE® really works, IT PROVIDES RELIEF FOR HEMORRHOIDS.

This patented device is unique and with over 70% of the adult population having rectal problems, THE DEMAND IS BIG.

Please provide the following contact information:

First Name

Middle Initial

Last Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Telephone Number

FAX Number

E-mail

URL

Please provide the following business information:

Type Of Business

Number of Employees

Year Established

Annual Sales (US Dollars)

Bank

Territory Wanted

Thank You,