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Class 2 Sub-Distributor Appliancation
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Class Two
Sub-Distributor application
Applicants First Name
Last Name
Email
Phone
Address
City
State & Zip Code
Business Name (If Applicable)
Title
Individual/Business Net Worth
<= $300,000
>$300,000 & $500,000
>$500,000
How much capital do you have to invest in thi business?
<=$100,000
>$100,000 and <= $150,000
>$150,000 and <=$200,000
>$200,000 and <=$300,000
>$300,000
In which geographical areas would you like to purchase the exclusive regional distribution right? (the preferred region should not be smaller than a county)
County(s)
States(s)
At what time do you prefer us to contact you (EST)?
After getting preliminary approval, where can the applicant get initial training?
Florida
Georgia
Illionis
Texas
California
New Jersey
Washington
After getting preliminary approval, when can the applicant get initial training?
Within 7 days
Within 30 days
After 30 days
Additional Information about the Applicant:
Please sign below to indicate that the facts you have given are accurate to the best of your knowledge and belief and may be used by A4L to verify your information and your suitability as an A4L exclusive regional distributor. You agree that omission or misrepresentation of information in this form may result in your removal from the A4L application.
Your Signature
Clear
Date
Name
Thank you! We’ll be in touch.
Submit
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