Revenue Certification Form Name of firm applying for DSN Global 100 (Please use name under which the company does business.) Please provide your direct selling operations’ net global sales revenue for 2017, before commissions paid and without value-added tax (VAT). If your company is headquartered outside the U.S., please also provide your net global sales revenue in your local currency. U.S. Dollars (Please round to the nearest thousand and convert to U.S. dollars. Should your company make the DSN Global 100, these figures will be published.) Local Currency CEO Name CEO Signature (Sign with mouse or finger) PLEASE NOTE: This form must be signed by a certifier (qualified as one of the below) willing to attest to the accuracy of the information included on this form. The certifier may work at the applicant firm or be independent of it as long as your credentials are current and in good standing. Please indicate which kind of certifier you are: Certified Public AccountantCertified Management AccountantAttorneyChartered Financial AnalystEnrolled Agent I hereby affirm that the revenue figures stated above are accurate based on the best information available to me. Certifier Name Certifier Phone Number Name of Certifier Firm Certifier Email Signature (Sign with mouse or finger) Date Name Email Direct Selling News reserves the right to request further documentation in addition to this form. Any additional information will be kept confidential and secure, and will never be shared with anyone outside Direct Selling News.