Sales affiliate application

THESE FIELDS ARE REQUIRED:

Full Name:

ID No:

Tel Work:

Tel Mobile:

Physical Address:

Postal Address:

Are you currently employed?
Please describe:
If not employed then provide a brief work history.

What is your opinion of the product?
Do you have any suggestions, comments or criticism that may help us improve the system?

Email Address:

Do you have a laptop?

Do you have a pc with internet access?

Approximately how many hours per week do you intend to devote to P.B.S EasyBooks?

Do you have any tertiary qualification? Briefly describe:

How did you hear about P.B.S EasyBooks?

Please provide atleast one contactable referance.