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PandaCards Partner™ - REGISTRATION FORM
If you've already learned about the benefits of becoming a
PandaCards PARTNER
and you're
ready to begin earning money from PandaCards, simply fill out the form below to get started.
General Information:
Your Name
Your Title
Your Company /
Organization Name
Address1
Address2
City
State
Zip / Postal Code
Telephone
-
-
FAX
-
-
Email
If you provide your email address, we will send you an automatic confirmation of your contact information.
Federal ID Number
-- Choose ID Type --
Social Security Number
Employer's Identification Number
Specify:
Please tell us more about your business.
Business / Organization Profile
-- Choose One --
Home Based
Small Business
Medium Business
Big Business
Corporate Business
Geography
-- Choose One --
Local Community
State-Wide
Regional
National
International
How many locations?
Additional Info:
How did your hear about PandaCards?
-- Choose ID Type --
PandaCards Partner
Browsing the Web
Direct Mail Piece
Direct Sales Call
Personal Referral
Yellow Pages
Advertisement
We are a current PandaCards Client
Other
If it was from a PandaCards Producer or PandaCards Part-timer, please tell us their name and/or ID Number:
If it was from an advertisement, or other source, please specify:
NOTE
: We never share your personal information with any third party for marketing purposes.
1.412.521.4000
1.866.726.3222
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