Please fill out the following form completely in order to credit commissions to your account!
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General
Information:
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First Name: |
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Last Name: | |
Address:
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City:
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State:
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Zip:
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Telephone:
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Work Telephone:
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E-mail:
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Best Time To Reach: |
years in business:
| (magicians
only)
| Affiliate Number: if known | | |
TYPE OF BUSINESS: (optional) |
owner
partnership
casual
Unholy alliance
illegitimate
company |
partners Name:
| (if applicable)
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Income
Level: (optional) |
Up to 25,00025,000-35,000
35,000-45,000
45,000-55,000
55,000-65,000
65,000-75,000
75,000-85,000
85,000-100,000
Bill Gates |
What Payment service/Credit Do You
Use? (select all that
apply) (This is how you get your commission)(optional) |
Paypal
Billpoint
check/money order
Direct Deposit
Wampum or other |
Magic Specialty or interest (select all that
apply) (This determines what items you will sell)(optional) |
All
close-up
stage
mentalism
escape
clown magic ministry
none |
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