DC application philippines

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Philippines DC Application

Philippines DC Application

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  • 1. Mail to: Momentum Plus Inc. 1650 S. Amphlett Blvd #226 Momentum San Mateo, CA 94402 Plus PHILIPPINES DISTRIBUTION CENTER (DC) APPLICATION Applicant's Name: ________________________________________ □New Application □Change Request Spouse’s Name:__________________________________________ MPlus ID#________________ Business Name:__________________________________________ Highest Rank______________ Mailing Address:____________________________________________________________________ Street / Location, City, Province, Country, Postal Code ____________________________________________________________________________________________________________________________ □Home Phone Number___________________________________ □Fax Number___________________________________ □Email:________________________________________________ Country Applying for:_______________________________ (1 per application) Town, City, Province Applying for:__________________________________________________________________ Placement Placement Sponsor’s Name:_______________________________________ Sponsor ID #_________________________________ Enrollers Name:_______________________________________ Enroller ID #________________________________ Do you have sufficient funds to purchase 10 VOIP Phones and membership kits to act as inventory in support of others? Please circle. YES or NO Do you have a computer with the following capabilities in this location. Please circle. Internet Access YES NO Email Access YES NO MS OFFICE YES NO MS WORD YES NO MS EXCEL YES NO Please rate your ability or the ability of a person on your staff who will handle communications in English. Please circle. Spoken English Fair Good Excellent Written English Fair Good Excellent Understanding English Fair Good Excellent Payment information USA Banking Info Philippines Banking Info Momentum Plus Inc. Lance Lomako 1650 S. Amphlett Blvd #226 San Mateo CA 94402 Banco De Oro Wellsfargo Bank 343: Ortigas 1- Exchange Road Account# 160-846-9910 Routing # 121-042-882 Swift Code: BNORPHMM Peso Account #: 343-012-9324 Payment Via Credit Card (3-4 digits on back of card) Credit Card Number:_________________________________________ Exp_______/_______ CVV2__________ Name on Credit Card:_________________________________________ Billing Zip Code:_____________________ I Authorize Momentum Plus to charge my card for the purchase of VOIP products for my DC Inventory. Signature:____________________________________________________ Date:_______________________