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REPRESENTATIVE APPLICATION

Thank you for your interest in becoming a Rags Land Representative. Please complete the following information. The Rags Land Marketing Department will contact you soon! 

Tell us how to get in touch with you:
Name
E-mail
Tel
Mobile
Fax
Street Address
City
State
Zip

Length of time at this address? years
Educational Background
Highest level of school completed?
Name of school/diploma/degree?

Employment History
Employer Address Phone Dates Employed Position

Home Office Equipment  
Answering machine/voicemail
Computer with internet access
Fax machine
Printer

 
How did you hear about the Rags Land Representative Program?
Hosted a Trunk Show Party
Advertisement
Attended a Trunk Show Party
A Friend
Other
 
Do you know a Rags Land Representative?
If so, who?
 
Have you ever represented or hosted another trunk show line?
If so, please describe. (Company, dates, and experience)
 
Do you have any children?
If so, please list their names and birth dates.

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!
Your application will be forwarded to the Marketing Department to evaluate the need for Representation in the cities and zip codes you have listed. If someone is already marketing Rags Land in your area are you interested in Hosting? (This is another exciting opportunity too!)

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

If you have a digital photo please email to marketing@ragsland.com


Please only submit once when you are finished.

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