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New Agent Account

Are you looking to make extra cash?

Many positions available. Full training given. We will also provide an on the job "buddy" for field experience.

To get started quickly, we recommend you complete the banking information on this form. You will need to have your bank name, routing number, account type and account number available. Payments will be made directly to your account.

Referring Agent Information

Let us know how you heard about us.


Your Contact Information - * Indicates required field




To ensure proper address mapping on mobile devices, please make sure to use a recognized street suffix, eg. St for Street, Blvd for boulevard, CT for court, Dr for Drive, etc. You can check with the US Post Office for more information.








Between 6 and 16 characters. Must contain a Capital letter, a number and a special character.
Passwords MUST not use the & ampersand character.



MM/DD/YYYY format, please.


Banking Information
example of check showing routing number, account and check numberIf you do not have your bank account information with you now, you can sign the ACH agreement and furnish the bank account information later. You will need to have your bank name, routing number, account type and account number available. If you do not have checks, and do not know the routing number, please obtain the information from your financial institution. Why do we need this information? We need this information to pay you. Payments will be made directly to your account. You do not need to have a bank account, any prepaid debit card that accepts ACH transfers will be fine.



No spaces, periods, dashes or characters other than numbers.


CheckingSavings

ACH Agreement - Initial and Sign

I hereby authorize the A Loyalty Card, hereafter called the COMPANY, to initiate credit or debit entries to my account indicated below at the depository financial institution named below, hereafter called DEPOSITORY. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. laws.

Recurring Debits and/or Credits: Periodic credits and debits for services.

For transactions that are a result of customers referred to this establishment: Debits

For transactions that are a result of customers that are assigned to this establishment: Credits

By checking this box, I am making my electronic signature and declare that I have read and agree to the above.

I agree to the above.
Agreement

Representative Agreement

I the undersigned (SR) understand and agree to the following:

This is a conditional agreement which will become complete when signed, in the near future, by myself and A Loyalty Card (the parties) but not later than 30 days ( Sunday, January 14th, 2018 ) from today (Friday, December 15th, 2017)

It is mutually agreed as follows:

Non-exclusive sales representative status
A Loyalty Card hereby grants to SR the non-exclusive rights to solicit orders for the System within the Territory.
Territory and Customers
SR shall have the right to solicit orders for merchant participation in the System from any potential customer located within the Territory, except those potential customers or classes of customers, if any, described in Exhibit B attached hereto.( There are none to date)
Term of this agreement
This Agreement shall continue in full force and effect until that date (Termination Date) set forth in a notice given by one party to the other indicating such party=s election to terminate this Agreement, which Termination Date shall be at least 3 days after the date of the notice in which such election is given.
Pricing and Terms of Sale
A Loyalty Card shall have the absolute right to establish the prices, charges and terms governing the marketing of the System (collectively the Sales Policies).
Commissions
Commissions are calculated as a percentage of the relevant earnings the stores and businesses that SR has produced as agent for the company.
Governing Document
The completed contract, to be signed at a later date shall be the governing document for this relationship between the parties.

By checking this box, I am making my electronic signature and declare that I have read and agree to the above .

I agree to the above.
Confirm Banking Informationexample of check showing routing number, account and check number