Vending Manufacturer Treasure Chest

Accessit Corp International's
US & INTERNATIONAL INQUIRIES Form
For More Information
On How To Become A
EXECUTIVE PLATINUM DISTRIBUTOR
MASTER DISTRIBUTOR
OWNER/OPERATOR

You can be assured that all Information Submitted on this form will be held in Strict Confidence and used only for the sole purpose of qualifying applicants for either of the 3 entry levels Worldwide by Accessit Corp International.

This form does not obligate either party in any manner.

Date: 6/22/2017 5:01:13 AM
Entry Level Interested In:
Package Size Preferred
(In US Funds):
Corporate Name:
First Name:
Last Name:
Nature of Business:
Website:
Address:
City:
State/Province:
Zip/Postal:
Country:


Residential Phone:
Include Country/Regional Codes in Phone #s

Business Phone:
Cell/Mobile Phone:
Fax:   
E-mail:
Best time to contact:
Language Preferred: English  French  Spanish
Partners:
Annual Combined Household Income:
Home:
Available Liquid Assets
(In US Funds):
Please Explain Briefly Your Business Background and Current Business Activities:

Areas Preferred for Your Territory.
May include areas in the USA or any Country(s) Worldwide.

First Choice:
Second Choice:
Third Choice:
Fourth Choice:

If this opportunity meets your needs and you are approved, how soon could you start? 

Additional Comments:


We welcome your comments


 


 

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Accessit Corp., Manufacturers & Producers, Winnipeg, MB



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