Promoter Application – Retail Insight

Name*

First Name Surname

Email*

ID Number*

Cell Number*

Occupation*

Availability*

Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Height (cm)*

Age*

Gender*

Dress / Shirt Size*

Promotional Experience*

Preferred Province*

Promotional Preferences*

Head and Shoulders Shot*

Accepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.

Max 4MB

Full Body Shot*

Accepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.

Max 4MB