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Please complete the following form as accurate as you can.
This information will be used to help match you with
a qualified representative.

NOTE:  If possible use an address other than AOL - our
vendors have been having a hard time getting though to
these addresses.  If not possible, please check your SPAM
folder in case their emails get sent there...

PLEASE do NOT misuse this form as a means of contacting our
consultants about YOUR opportunity.  This will NOT be tolerated.

   

First Name:
 *
Last Name:
 *
Email Address:
 *
Email Address Verification:
 *
Address:
 *
City:
 *
State:
 *
Zip Code:
 *
Phone w/ area code:
 *
Your work status:
Employed Full Time
Employed Part Time
Not Employed
Homemaker
Time Investment:
I have 40 or more hours available weekly
I have 30-40 hours available weekly
I have 20-30 hours available weekly
I have 10-20 hours available weekly
I have less than 10 hours available weekly
Money Investment:
I am willing to invest $200 or more
I am willing to invest $150-$200
I am willing to invest $100-$150
I am willing to invest $50-$100
I am willing to invest $50 or less
Business(es) I am Interested In:
Bath and Body
Bed and Bath
Books/Educational
Candles
Children's Toys/Clothing
Clothing and Accessories
Cosmetics/Beauty
Crafts/Stamping/Scrapbooking
Gifts/Baskets/Collectibles
Gourmet Food/Coffee/Wine
Health/Nutrition
Home Decor/Housewares
Household/Cleaning/Etc.
Jewelry
Kitchenware/Entertaining
Lingerie/Novelties
Pet Care/Supplies
Stationery/Notecards
Other (Tools/Photography/Other Businesses)
I Prefer To Do:
Home Parties
Internet Sales
Catalog Sales
Other/Personal Use
Contact Me Via:
Email
Phone
Send my info regular mail
Email & Reg. Mail - NO calls
Best time to contact me:
Mornings 9-11am
Afternoons 12-4pm
Evenings 6-9pm
Weekends
Any additional comments you feel will help our reps with your home business search:
Do not enter anything in this field:
* indicates a required field

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