REPRESENTATIVE APPLICATION

Please fill out the fields below and submit once at the end.

Tell us how to get in touch with you:

Name
E-mail
Tel
Fax
Street Address
City
State
Zip

What large city or cities are you close to?

How did you hear about the Rags Land Representative Program?

Hosted a Trunk Show Party

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Attended a Trunk Show Party

A Friend

Other

Do you know a Rags Land Representative?

Yes No

If so, who?

Have you ever represented or hosted another trunk show line?

Yes No

If so, please describe. (Company, dates, and experience)

Do you have any children?

Yes No

If so, what are their ages?

 

Professional and Volunteer Organizations and Clubs.

List the names of the organization and clubs you belong:

Please list the cities and zip codes that you plan to target:

We appreciate your interest in Rags Land!
We will forward this information to the Marketing Department to conduct some research in your area. We must evaluate whether we are in need of new Representatives in your city. If someone is already marketing Rags Land in your area, are you interested in becoming a Rags Land Hostess? (This is another exciting opportunity too!)
Yes No

Enter your any additional comments or questions in the space provided below:

Please only submit once when you are finished.