Request for Taxpayer Identification Number and Certification

5. Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.
6. Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
7. Address (number, street, and apt, or suite no.) See instructions.

Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.


Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2 . I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
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General Instructions

Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to

Purpose of Form

An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later

Partnership Agreement

We are delighted to extend an invitation for you to become a valued partner with Radiant Revival Aesthetics and Weight Loss Clinic LLC, bringing the benefits of peptide therapy to your esteemed gym members. As a partner, you will play a pivotal role in promoting our services and introducing clients to the transformative effects of peptide therapy, all while earning a generous commission on every sale.

To make this partnership even more seamless for you, we want to emphasize that all dealings and liabilities with the clients and gym members will be expertly handled by the Radiant Revival office. Our dedicated team will take care of every aspect, ensuring a hassle-free experience for both you and your members. This allows you to focus on what you do best - providing an exceptional gym experience.

In addition to this, we are excited to introduce an exclusive opportunity for your gym members. They can choose to pay a nominal $5.00 membership fee, granting them discounted access to all that Radiant Revival has to offer. This membership fee not only enhances the value proposition for your members but also adds an additional revenue stream for your gym. We believe this option will make the partnership even more attractive to both parties.

Moreover, to support your promotional efforts, Radiant Revival is pleased to offer eye-catching posters and marketing materials that can be prominently displayed throughout your facility. These materials are designed to educate and entice potential clients, creating awareness and interest in the revolutionary peptide therapy services offered by our clinic. We understand the importance of effective promotion, and our goal is to support your efforts by supplying you with all the necessary tools to make this collaboration a success.

To ensure maximum flexibility and convenience, we are also happy to provide you with digital copies of all promotional materials. You can print these materials at your leisure and at your own cost, giving you the freedom to customize the promotion according to your gym's unique style and branding.

Your role as a partner with Radiant Revival Aesthetics and Weight Loss Clinic LLC includes the following responsibilities:

Lead Generation and Prospecting: Identify potential clients through various channels, including online platforms, networking events, and referrals, as well as your existing client base.

Client Outreach: Initiate contact with potential clients through emails, phone calls, and in-person interactions, effectively communicating the benefits of peptide therapy.

Consultative Selling: Understand the unique needs and goals of each client through active listening and open-ended questioning, tailoring your approach to align with the client's desired outcomes.

Product Knowledge: Acquire a comprehensive understanding of peptide therapy, its benefits, mechanisms, and potential results, staying updated on industry trends and developments.

Education and Information Sharing: Provide clear and accurate information to clients about the peptide therapy process, addressing any questions or concerns and ensuring they are well-informed.

Consultation Scheduling: Send leads through the provided lead system, and the Radiant Revival office will take it from there.

Client Relationship Building: Establish rapport and build trust with clients to create a positive experience, following up after consultations to address any additional questions and encourage treatment enrollment.

Sales Tracking and Reporting: Access accurate records of client interactions, leads, conversions, and sales activities through the clinic's CRM.

Cross-Team Collaboration: Work with the clinic's medical staff and administrative teams to ensure a seamless client experience from consultation to treatment, follow-up, and outcome.

Continuous Learning: Attend training sessions, workshops, and seminars to enhance your knowledge of sales techniques and peptide therapy.

Ethical Conduct: Adhere to ethical sales practices and maintain the confidentiality of client information.

Results-Driven Approach: Strive to meet and exceed sales targets, contributing to the clinic's growth and success. We are open to suggestions to enhance your success.

By fulfilling these responsibilities, you become an essential part of our team, contributing to our mission of providing effective and personalized peptide therapy solutions to our clients. As a token of our appreciation, we offer a competitive commission rate of 10% of each sale. Commissions will be calculated and paid upon the closing of sales completed by the clinic. Each paycheck will be accompanied by a detailed sales report.

To formalize this partnership, please review and sign the attached W9 form.

Thank you for considering this exciting opportunity. We look forward to a successful collaboration and the positive impact it will have on both your gym and the well-being of your members.

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