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Agent Request Form Zerafone agents enjoy several advantages


Becoming an agent is as easy as one,two,three.
..
1) Fill out and submit the form below.

Please provide the following contact/mailing information:

First Name  
Last Name  
Street Address  
Address (cont.)
City  
State/Province  
Zip/Postal Code  
Country
Work Phone  
Home Phone  
FAX
E-mail  
URL

Please tell us what type of broadband Internet service you currently have:

 

I currently have a VoIP service?

Yes No

I am planning to get a ZeraFONe account.

Yes No

Select any of the following options that apply:

I am knowledgeable about VoIP.
I work in a technical field.
I am looking for extra P/T income.
I plan to work from home.
I am a college student.
I am part of an International community.

Would you like us to mail you marketing material ?

Yes No

How do you plan to sell ZeraFONe VoIP?


Please tell us any other information that will help us better support your efforts:

 

Click here for the Agent Terms and Conditions:

I have read, understand and agree to the Agent Agreement.


Copyright © 2008 ZeraFONe, LLC. All rights reserved.
Revised: 05/06/08