NEW DISTRIBUTOR APPLICATION
Name:____________________
SPONSOR ID: Patsy McManus
PHONE :__________________
Address:__________________
City: _______________
State:_________ Zip:________
Shipping Address: Same Yes or No
Home Phone:
Cell Phone :
FAX NO. :
Country:
Email Address:
Birth Date: Month:___ Day:___ Year:___
Driver License No: State/Country:
__________________________
Credit card number:
__________________________
Exp: ___/___
Sec. Code: _____
Specify products wanted:
__________________________
Print, fill out and email to patsy@robertmcmanus.com. Also, please call to verify that it was received. PH: (985) 320-8403
5 Comments
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Veronica fernandez
September 19, 2017
Iwoluld like to come a distributor
Patsy McManus
October 2, 2017
Contact me at (985) 320-8403
Patsy
Patsy McManus
January 27, 2018
Veronica: I just saw this message. Please text me: (985) 320-8403. Patsy
Julie
May 16, 2018
Hola como le podria hacer para vender los productos gracias
Patsy McManus
July 1, 2018
Si desea vender los productos, envíeme un mensaje de texto al (985) 320-8403.