Zynergia International Group - Territorial Sales Partner

TERRITORY SALES PARTNER (TSP) APPLICATION

PLEASE PREPARE TO UPLOAD THE FOLLOWING:

Contract Lease, DTI/SEC, Certificate of Registration, Mayor’s Permit, BIR Permit and Business Permit.

Date of Application:

Salutation:

First name:

Middle name:

Last name:

Suffix:

Date of Birth (mm/dd/yyyy):

Date of Membership:

Facebook Account:

Mobile Number:

Email address:

Telegram Account No.

HOME ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

Country

BUSINESS ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

Country

FB Page name:

Center Portal username:

Membership username:

How many S.Q.M?

Area of Coverage:

Are you a ZNP? What Batch?

Upload the following:

Contract lease:

UPLOAD CONTRACT

DTI / Sec:

UPLOAD DTI/SEC

Certificate of registration:

UPLOAD CERTIFICATE

Mayor's Permit:

UPLOAD PERMIT

BIR Permit:

UPLOAD DTI/SEC

Certificate of registration:

UPLOAD CERTIFICATE

Finder's Fee claimant / Referred by: