ELECTRONIC SIGNATURE VERBIAGE

Genusity, L.L.C.

ASSOCIATE AGREEMENT

Section I: Acceptance of the Agreement

Welcome to the Genusity, L.L.C. (“Genusity”) business. Please read the Genusity Associate Agreement and Policies and Procedures carefully, collectively referred to as “Associate Agreement.”

Section II: E-Sign Notice- Consent to Electronic Record

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 Genusity before a Genusity Associate Agreement can be executed.

Please read the following information carefully:

• If you enter into an online Associate Agreement with Genusity, you will not be required to submit a paper application. An electronic record will evidence the entire agreement between you and Genusity. However, you must consent to the use of an electronic record and must read the Genusity Terms of Use, Genusity Policies and Procedures and the Genusity Compensation Plan, and electronically acknowledge below that you have read these documents.

• To access these documents and submit your online Associate Application, you will need a personal computer or Mac with Internet access and operational Internet browser software.

By joining Genusity as a Customer or Associate, you consent to the use of electronic records evidencing your agreement to the Genusity Terms of Use, Policies and Procedures and the Compensation Plan of the Genusity Associate Agreement. If you do not agree, cancel your membership and send back any Beacons you may already have.

Section III: IRS W9 Information

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:

• The information submitted is correct

• You are not an exempt payee (generally, individuals, sole proprietors are not exempt from backup withholding)

• The IRS has not notified you that you are currently subject to backup withholding

• I am a U.S. citizen or U.S. resident alien (individual/sole proprietor)

I consent to the use of electronic records and have read, understand and agree to the Genusity Associate Agreement and Policies and Procedures.