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Energy Agent Sales Team

What is your first name?

What is your last name?

What is your email address?

What is your phone number

Who referred you to this partnership?

Who referred you to this partnership?
A

Do you understand this is a 1099 independent contractor opportunity and not an employee–employer relationship?

Do you understand this is a 1099 independent contractor opportunity and not an employee–employer relationship?
A

I have read and agree to the Energy Agent contractor disclaimer and acknowledge that my electronic signature has the same legal effect as a handwritten signature. https://www.energyagent.agency/legalcontractor I am legal to work in the United States and am legally 18 or older.

I have read and agree to the Energy Agent contractor disclaimer and acknowledge that my electronic signature has the same legal effect as a handwritten signature. https://www.energyagent.agency/legalcontractor I am legal to work in the United States and am legally 18 or older.

What is today's date

Anything we should know about your capability, service area, or the type of work you prefer?

Sign below to solidify your acknowledgement.

Signature