Dealer Application - Specialty Marketing Systems

SMS Dealer application

This information will be treated with the strictest confidence and not shared with others. Present Employer or business will not be contacted. This form is not a contract and places no obligation on the applicant to purchase or Specialty Marketing Systems to sell. Its purpose is to evaluate your suitability for this business. Please answer all questions and submit the form below.

YES, I would like to be considered for your SMS Tabasco Dealership.

* Indicates Required Field

First Name *

Last Name *

Birth Date

Marital Status: Married Single Divorced Widowed

Spouse Name

Your Occupation

Home Address *

City *

State *

Zip *

Own or Rent? Own Rent

How long at this address?

Telephone *

Cell

Email *

REFERENCES (List persons you have known for two or more years)
1. Name	Years Known	Telephone
2. Name	Years Known	Telephone

BUSINESS INTEREST
Have you ever owned and/or operated a business or franchise in the past? No Yes
If Yes, Explain:

Would you be able to start this venture in 60 days? Yes No

If No, When?

Where are you interested in locating this business?

State

County

City

Applicant Name *

Date *

I ACCEPT

By clicking the "I Accept" button left. I certify that I am a bona fide candidate and that I have read the FAQ’S at www.specmarksystems.com and understand the information provided on this opportunity and that the above information supplied by me is true and correct. I also authorize release of any information, from any source, deemed necessary by SMS to verify any and all of the above information. I also agree that by typing my name above and clicking the "I Accept" button left has the same effect as if I had placed my handwritten signature on a paper document.

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Not Case Sensitive

The TABASCO® marks, bottle and label designs are registered trademarks and service marks exclusively of
the McIlhenny Company, Avery Island, LA 70513.
Specialty Marketing Systems, Inc. is an authorized manufacturers representative of TABASCO® brand products but not an agent of
or otherwise affiliated with the McIlhenny Company. Specialty Marketing Systems, Inc. is not authorized to act on behalf of the McIlhenny Company.

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