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REGISTRATION

Please complete the following information. All fields with an "asterisk" must be completed in order to be issued a "Dog Tag" identification number.

 

*First Name

      
 

*Last Name

      
 

*Address

    
 

*City

      
 

*State

      
 

*Zip

      
 

*HomePhone

    
 

WorkPhone

    
 

*Email

      
    (If no email, then "none")  
  * Password    
  Confirm Password    
    (Password = min  4 char and max 12 char)  
       
 

*RulesRegs

     Must agree to be member  
 

*Salesperson

 

  

          Your Social Security number will be needed to report earnings of over $600 per year. The IRS requires us to send you a form 1099 to report income beyond $600 per year. You will be contacted by a Long-Lewis representative once you have reached this level.
             
                     If you have any questions, don't hesitate to contact your "Hunter" (Salesperson)
 

*Per Ford Motor Company regulations, referrals purchasing under A/Z or D Plan are limited to a $50 referral fee. X Plan referrals (Friends & Family or X Plan Partner) are not eligible for a referral fee.*