The Official Pleasure Company Website

Distributorship Online Application

Please type in all the fields completely, then print the page, then fax it to 1-813-600-3833.

Contract and Agreement
TPC 23110 State Road 54, #334, Lutz, FL 33549
1-813-949-2021

PERSONAL INFORMATION:
Full Name:	*
Street Address 1:	*
Street Address 2:
City:	*
State:	*
Zip Code:	*
Email:	*
Home Phone:	include area code
Work Phone:	include area code
Date of Birth:	* (mm/dd/yy)
Social Security #:	*
Drivers License #:	*
State Issued:	*
Nearest Relative (not living with you)
Full Name:
Address:
City:
State:
Zip:
Phone:	include area code

BANKING REFERENCE:
Bank Name:
Branch:
Acct #:
Type:

CREDIT CARD REFERENCE:
Type of Card:	*
Account #:	*
Exp. Date:	*
Cardholder Name:	*
Security code:	* 3 digits - on back of card

PROFESSIONAL REFERENCE:
Company Name:
Contact Person:
Phone:	include area code

PERSONAL REFERENCE:
Name:
Address:
City:
State:
Zip:
Phone:	include area code
Years Known:
I certify that the above statements are true and complete to the best of my knowledge. I understand and acknowledge that I am an independent distributor of THE PLEASURE COMPANY INC. and will attend all training workshops and/or classes In order to qualify for my distributorship. I understand that upon completion of the requirements set forth of a Qualified Distributor of THE PLEASURE COMPANY INC. that the basic Starter Kit will become solely my possession and not before then. I understand I will collect and forward any and all sales taxes to every state in which I distribute products. I agree to protect the name, image, and reputation of THE PLEASURE COMPANY INC., and distribute only those products purchased from THE PLEASURE COMPANY INC. I agree to forward paid orders to THE PLEASURE COMPANY INC. within 48 hours of the sale, in order to insure prompt delivery for my customers. During the term of my distributorship, and for three (3) years after such distributorship concludes, I agree not to use any information or trade secrets for any purposes whatsoever, or divulge such information to any person(s) other than persons THE PLEASURE COMPANY INC. has given written consent, unless compelled to by governmental or judicial order. I also understand that violation of this contract will result in immediate cancellation of my distributorship.
Sponsor:
Phone #:	include area code
Resale #:
Signature: X _________________________________ Date:______________
Please print this page and fax to 1-813-600-3833 OR click below to submit.