MARTIN'S TEAM APPLICATION

(ONLY ONE PERSON PER APPLICATION & PER MEMBERSHIP)

CHAPTER OF APPLICATION *

First Name *

Last Name *

Street Address 1 *

Street Address 2

City *

State / Province *

Postal code *

Country *

Phone Number (Most Direct) *

Your best email contact address *

Website

Company / Business Name *

Business Category *

Does your profession require special licensing? *

Does your profession require special certification? *

Does your profession require any special accreditations? *

If yes to any, please describe here:

Brief description of your business: *

Position in relationship to business? *

Years in business: *

Is this your primary business? *

Who referred you to TEAM? *

When is your next birthday? *

Name Badge - First & Last Name: *

Name Badge - Business Name or Category: *

Please check all that apply:

I am transferring from another CHAPTER of TEAM Referral Network (already a member).

Membership Options:

1 Year Membership $495+ $100 application fee for total of $595

2 Year Membership $840+$100 application fee for total of $940

Click below to view TEAM Policies & Procedures:

Please check (Required for application submission):

I have read, understand and agree to all policies and procedures of TEAM Referral Network Corporation. I do agree to hold TEAM Referral Network, TEAM Franchise Corp, its franchisees, Directorates, contracted agents and affiliates harmless of any and all liabilities that may arise as a function of my membership as a TEAM Referral Network member and understand the TEAM Referral Network is an "at will" organization.

PLEASE PRESS SUBMIT ONCE!

WE'VE ASKED FOR A LOT OF INFORMATION AND IT TAKES A MINUTE TO PROCESS EVERYTHING.

MARTIN'S TEAM APPLICATION

(ONLY ONE PERSON PER APPLICATION & PER MEMBERSHIP)

YOU SHOULD BE REDIRECTED TO A "THANK YOU PAGE" SHORTLY!