BRITT WORLDWIDE

NEWBALL DIAMOND TEAM

PROSPECTIVE DISTRIBUTOR LEAD SHEET

PLEASE PRINT CLEARLY IN CAPITAL LETTERS

PROSPECT INFORMATION

Name:		Country		
Address:		
		
Phone Number	Residence:		Office:		
	Cellular:		Fax:		
E-mail address:		Referred by:	

FOSTER (LOCAL) SPONSOR INFORMATION

Name:		Country		
Address:		ADA No		
		
Phone Number	Residence:		Office:		
	Cellular:		Fax:		
E-mail address:		

INTERNATIONAL (U.S.) SPONSOR INFORMATION

Name:		Country		
Address:		IBO No		
		
Phone Number	Residence:		Office:		
	Cellular:		Fax:		
E-mail address:		

INTERNATIONAL (U.S.) LINE OF SPONSORSHIP

Upline Platinum: 	U.S. IBO #:	
Diamond: Newball Enterprises, Inc.	U.S. IBO #: 1000489