Sales Representative Signup Form


Chatz.us
Referral By: John D Hoover Jr
Sales Rep Referral ID: 86173734663606

Payments in U.S.A. and Worldwide via Paypal

 

Please enter your mailing address.

First Name:

 

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Middle Name:

Last Name:

 

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Suffix:

Address:

 

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City:

State:

Providence:

Zipcode:

Country:

 

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Paypal E-Mail Address:

 

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You need to have a Paypal account for affiliate payments.  If you don't have one, please signup for Paypal. (It's free.)

Affiliate Photo:

 

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Maximum Photo Size: 3 MB.  (For Sales Rep of the Month.  Photo will be displayed on corporate webpage, in the affiliate program, and also on several other news and media outlets in the future.)  Please upload a photo of yourself with your head/face & upper body clearly visible.

Affiliate Biography:

 

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0/1,500

(Affiliate Biography will be streamed to media outlets in the future to showcase our successfull affiliates.)

E-Mail Address:

 

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(A verification email will be sent.  This will be your Affiliate Program login id also.   Please note: We don't send spam.)

Choose a Password:

 

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E-Mail Notifications:

 

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Commission

 

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Referral Bonus

 

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Residual Commission

 

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Payment

 

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Send Affiliate Starter Pack to Mailing Address:

 

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Send the Affiliate Starter Pack with (4) Automobile Advertisements, (2) Chatz.us Bulletin Board Advertisements and 27 business cards pre-printed with my name (once on signup)(Free).

Website:
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I agree to the Sales Representative Agreement.

Enter Verification Code:

 

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