| Subject: | Fill the questionnaire. |
| From: | M.sadler27@gmail.com |
| Date: | Fri, 6 Mar 2009 14:53:59 +0100 (CET) |
| Message body: | Dear, Thanks for your response and indication to work for us. All am asking is for you to be my company representative/ bookkeeper in your country and your region. Please find the questionnaire kindly complete the below questionnaire and send back to us as we will be sending over to you an agreement that you will have to sign before we will have our customers to make payments through your on our behalf. We would be awaiting your earliest revert. Feel free to ask us any questions on any unclear issue. Regards, Mark Sadler Petals Textiles Ltd. 268 ALGATE ST. NORWICH, NR2 2DN, UNITED KINGDOM. Phone: +447035928109/ Fax: 448709123783 Your information will be computed into our data base once we are satisfied with you to work as our representative. 1. Last Name:________________________________________________ 2. First Name: _________________________ (INTIAL)___________________ 3. Address:__________________________________________________ __________________________________________________ 4. Home Tel: ____________________________ (Cell)_______________ 5. Date of Birth:______________________________________________ 6. Social Security Number:_____________________________ 7.. Social Insurance Number ( Canada Only):________________________ 8. Occupation:________________________________________________ 9. Business Address:___________________________________________ ___________________________________________ 10.Mother Maiden Name ___________________________________________ 12. Are you a property owner in the United States or Canada : Yes ( ) No ( ) (This Form must be returned with the following: Applicant's Identification i.e. Drivers License or International Passport) ATTESTATION I certify that the information is true and to the best of my knowledge. __________________________ ________________ Applicant's Signature Date ************* IMPORTANT NOTICE************* The above information will be verified before Disbursement of payment from our Customers in the United States and Canada. (THIS FORM MUST BE COMPLETED AND ENDORSED ACCOR |
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