Virtual Presentation Form

Thank you for taking the time to help one of our team members!
Please take a couple minutes to just verify the presentation and help the representative with the most important part of their job.
Rep Email
Part 1/3: The Most Important Part of Representatives Jobs
Representatives are not allowed to go door to door or cold call which means that this is the most important part of their job. Who do you know that may be nice enough to sit down for a presentation?
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Part 2/3: Presentation Verification
We are committed to keeping your personal info confidential. We will not provide your personal information to any third party individual, government agency, or company at any time. This is just to make sure that the correct individual is awarded with credit for completing a presentation.
Your Name*
First Last
Phone*
Address*
Street Address City State / Province / Region
Representative Name
Relation*
- Family
- Friend
- Friend of friend
Email
Part 3/3: Presentation Results
Did you see something you decided to try today?*
- Yes
- No
What was the main factor in that decision?*
Any additional comments?

Part 1/3: The Most Important Part of Representatives Jobs

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