Sales Rep - New Hire

Basic Info

Basic Info
First Name *
Last Name *
Email *
Office Location *
Address *
City *
State *
Zip *
Phone *
User Image - Badge ID *
Date of Birth *

W9

Direct Seller Agreement

Direct Seller Agreement

Identification Proof

*Please provide two (2) valid forms of identification.
Drivers License
Birth Certificate
Passport
Social Security Card

Existing / Current Licenses

Please identify and upload any existing or current licenses that you may have.
License 1
License 1 Upload
License 2
License 2 Upload
NOTE: Acceptable file formats: JPEG/PNG/PDF, Recommended file size is below 20 MB

Banking Info

Banking Info
Name *
Bank Name *
Bank Address
Bank Account Type *
ACH Routing Number *
Account Number *
Wire Transfer Routing Number (different than direct deposit info)
Voided Check Image (Optional)

Initial Apparel Sizing Selections

Initial Apparel Sizing Selections
Shirt Size *
Jacket Size
Hat Size *
Pant/Short Size *
Waist Size *