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Interested in becoming a Subagent
Company Information
Company Common Name:
*
Company Common Name is already exists
Company Phone:
*
Ext.
At least 10 digits are required.
Company Address:
*
Company Address 2:
Company City:
*
Company State:
*
Please Select
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CT
DC
DE
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Company Zip Code:
*
Contact Person First Name:
*
Contact Person Last Name:
*
Contact Person Email:
*
Contact Person Phone:
*
Ext.
At least 10 digits are required.
Does the subagent have or perform the following
Retail Location(if yes, how many?):
*
YES
NO
How many?
Mall Kiosk:
*
YES
NO
Home based office:
*
YES
NO
Installation teams:
*
YES
NO
Event sales reps or team:
*
YES
NO
Direct Mail:
*
YES
NO
Print Media (news paper, magazine etc):
*
YES
NO
Door Hanging\ Flyers:
*
YES
NO
Inbound Call Center:
*
YES
NO
Outbound Call Center:
*
YES
NO
Door to Door sales team:
*
YES
NO
Online/Website [if yes, list all urls]:
*
YES
NO
Urls:
Additional Questions
Have you sold CenturyLink services before?
*
YES
NO
How long have you been in business?
*
Less than 1 year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
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21 years
22 years
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35 years
36 years
37 years
38 years
39 years
40 years
41 years
42 years
43 years
44 years
45 years
46 years
47 years
48 years
49 years
50 years
More than 50 years
What States and or Countries do you operate in?
*
What products do you currently sell?
DirecTV:
*
YES
NO
Dish Network:
*
YES
NO
Cellular:
*
YES
NO
Home Security:
*
YES
NO
Other:
How will you be selling CenturyLink services?
*
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