BThere - Your Personal Health and Safety Assistant Bthere Representative Enrollment :

Step 1. Applicant Information

Select whether you are enrolling as an individual or a business entity. Required fields will update based on your choice.

Enrollment Type

Individual

Business Entity

Individual Information

First Name

Last Name

Social Security Number If you prefer, you may submit an IRS Form W-9 instead.

Business Entity Information

Name of Entity

Type of Entity

Tax Identification Number If you prefer, you may submit an IRS Form W-9 instead.

Contact Person Name

Provide information for all owners by completing the Business Entity Addendum.

Download Business Entity Addendum

Contact Information

Address

Address (Line 2)

Zip

City

State

Phone

Step 4. Submit Application

Review and print the documents below before submitting your application.

I certify that I am at least 18 years of age. I understand that I will be an independent contractor and will not be treated as an employee of BThere for any purpose, including but not limited to federal or state tax purposes.

I consent to the use of an Electronic Record of the Representative Agreement as set forth in the ESIGN Consent.

I have read and agree to the BThere Policies & Procedures and the BThere Compensation Plan, both of which will be available in your Back-Office and collectively form the Representative Agreement.

I have reviewed BThere’s Privacy Policy and Website Terms of Use.

(Optional) Text Message and Telephone Consent. I consent to the receipt of promotional and other communications (voice and text) to the telephone number(s) that I provided during this transaction, including SMS text messages (up to 10 promotional text messages per month). Message and data rates may apply. I understand that I may opt out of receiving SMS text messages by replying STOP to any SMS text message that I receive from BThere. For help or assistance, reply “HELP” to any SMS text message that you receive from BThere.

(Optional) Email Consent. I consent to the receipt of promotional and other communications to the email address that I provided during this transaction. I understand that I may opt out of receiving such emails by following the unsubscribe instructions in the email communications that I receive from BThere.

I understand that BThere does not guarantee financial success and I certify that nobody has assured me that my BThere independent business will be profitable.

The Representative Agreement does not go into effect unless and until it is accepted by BThere. If accepted, I will receive a confirmation email from BThere. I understand that the term of the Agreement is one year from its acceptance by BThere unless previously terminated or cancelled as provided in the Policies & Procedures. In order to renew the Representative Agreement, I must affirmatively acknowledge renewal by logging into my Back-Office and renewing the Agreement prior to the annual anniversary date. The annual anniversary/renewal date shall be the date on which this Representative Application and Agreement is accepted by BThere.

In the event your Application is accepted by BThere, you will have the right to terminate the Agreement at any time, with or without reason. Such termination may be submitted at www.btherewithyou/cancel, via the Representative Back-Office, or by calling (833) 287-9477.

Authorized Representative Enrollment

Step 1. Applicant Information

Individual Information

Business Entity Information

Contact Information

Step 2. Online Starter Kit

Step 3. Account Set Up

Step 4. Submit Application