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Distributor Application

DISTRIBUTOR APPLICATION

You do not need to fill out this application to purchase and sell Options Starter and Refill Packages. If you are interested in being an Options for Life Distributor with an exclusive territory, please fill out the application below. All information will remain confidential.

Your Name

Your Company Name

Your Business or Mailing Address

Your Shipping Address if different from above.

Special Delivery Instructions

Your Contact Telephone Number

Your E-mail Address

Your Current Occupation or Job

How long have you been in your current occupation or job?

Do you envision focusing on Options for Life business part-time or full-time?

Would you be engaging others to help you sell Options-for Life products?

What is the area or geographic territory you plan to cover?

Within your geographic territory, what audiences would you target?

Are you combining the Options for Life business opportunity with another business or with the sale of other products?

Can you provide us with some information about the business mentioned above (if applicable), such as the name, address, years in business, nature of the business, size and target market or audience?

Does the business mentioned above have a Web site? If so, would you provide us with the Web site address?

Do you use social networking tools such as Twitter and FaceBook?

Have you had experience selling green products or services? If so, please describe your experience.

Please provide us with three trade references: name of company, contact person and contact person telephone number or email address.

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