Make your own free website on

Victorian Memories

Independent Consultant Application and Agreement


Name  ______________________________________________________

Address  ____________________________________________________

City  __________________  State __________  Zip _________________

Social Security #  _________________ E-mail ______________________

Bus. Tel ________________________  Home Tel ___________________

Ship to Address (if different) ____________________________________

City  __________________  State __________  Zip __________________

Please register me as a Victorian Memories Independent Consultant and send me the Start-Up Kit which includes: product samples (bath products, samples  of scents, essential oils), floral waters, complimentary Aromatherapy Seminar, Marketing Newsletter, Party Plans with recipes and party ideas.

The price for the Victorian Memories Start-Up Kit is: $78.00 plus shipping(UPS-ground,$15.00). Payment may be made with:  Pro Pay (preferred method) or Pay Pal. Confirmation of your payment must be present before the kit is shipped.

Copy and paste this form directly into you e-mail and send to:    ( attachments will not be opened)

or copy and print out this form and send to:

Victorian Memories (Attention: S. Maier)

4401 Cleveland Drive

Plano, Texas 75093

If you have further questions, please ring us:

Telephone:  (toll free) 888 786 5815 or 972 612 6906  (Monday - Friday from 9:00  to 5:00 PM. Central Time)



1.  I agree that as a Victorian Memories Independent Consultant, I am an independent contractor, and not an employee, agent, partner, legal consultant, or franchisee of Victorian Memories.  I understand that I shall not be treated as an employee of Victorian Memories for Federal and State Tax purposes.

2.  I understand that I have the right to terminate this Agreement at any time with or without reason.  I understand that such termination must be in writing.  I understand and agree that Victorian Memories may terminate this Agreement at any time, with or without reason, upon written notice to me.  Victorian Memories also reserves the right to terminate the contract of any Consultant who misrepresents Victorian Memories company or products.

3.  I am at least 18 years old and of majority age and my performing under this contract will not alter my responsibility under any other contract.

4.  Consultant agrees to pay Victorian Memories for all ordered merchandise in advance of delivery. Consultant agrees that the trade names, trademarks, copyrights and logos of Victorian Memories are the property of Victorian Memories and agrees not to use the trade names, trademarks, copyrights or logos in any type of advertising or promotional materials in any medium, including the internet without the prior written permission of Victorian Memories.  Consultant shall not own or operate a web site or advertise on any web site other than a web site approved, authorized or sponsored by Victorian Memories for promoting their products.

5.  Consultant is authorized by Victorian Memories and agrees to make only those product claims that are specifically set out for each product in printed materials supplied by Victorian Memories to Consultant.

6.  Consultant shall assume full responsibility for collecting any taxes on goods sold that are taxable and consultant shall receive 40% commission of the retail price of products.

7.  This Agreement shall be governed by and interpreted in accordance with the laws of the State of Texas.

8. Consultant understands that she/he is an independent Contractor and is responsible for all state, federal and local taxes and regulations and laws.


Applicant's Signature ___________________________________________

Print Name  ___________________________________________________

Important:  The terms and conditions listed above become part of a legally binding contract once you execute and electronically submit this agreement and your personal information.  Please read them carefully.



Aromatherapy Course

Bath Oils

Floral Waters

 Bath Scrubs

Bath Soaks

Order Form


Essential Oils


Dead Sea Salts