Organization Representative Application

First Name :   
Last Name :
Business Name:
Tax ID Number - Personal or Business:
Mailing Address:
City:
State:
Zip Code:
Daytime Phone:
Mobile Phone:
Email:
Recruiting Rep Name:
Recruiting Rep E-mail:
Recruiting Rep Phone:
Business Name:
Bank Name:
Bank Account #
Bank Routing Number:
I Accept Terms (click to view)
Comments:


Please Note – This is an application only. Upon acceptance by I-texts Inc. you will be sent an Organization Representative Agreement.
If you have been referred by another Representative and do not have all of their contact details, enter just their name.
If you enter a business name, we will list you as DBA and make payments to the business.
If you do not wish to enter all tax and bank information at this time, please enter the last 4 digits of your personal tax ID in the Tax ID box.
Please check that all information is entered carefully before submitting the application.