SHLEPPERS SALES PERSON AGREEMENT ENTRY FORM Name or Company Name(Required) Email(Required) Agreement Commencement Date(Required) MM slash DD slash YYYY Greeting(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Monthly Draw(Required)Please enter a number from 3000 to 8000.Hourly Job Commission Rate(Required)Please enter a number from 0 to 10.Local Binding Commission Rate(Required)Please enter a number from 0 to 10.Long Distance Commission Rate(Required)Please enter a number from 0 to 10.Additional Notes or Contract Terms