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    Orient Expressed Homeshow Representative Application

    * Required Fields
    * First Name:
    * Last Name:
    * Address:
    * City:
    * State:
    * Zip / Postal Code:
    * Phone No.:
    Best Times to Call:
    * E-mail Address:
    College:
    Degree:
    Occupation:
    Civic/Community Memberships:
    Spouse's Name:
    Spouse's Occupation:

    Children Names and Ages

    Name:
    Age:
    Name:
    Age:
    Name:
    Age:
    Name:
    Age:

    How did you hear about us?
    Have you ever represented or hosted another trunk show line and if so, when?
    Do you know an Orient Expressed Representative?
    If so, who?
    How long have you lived in this city?
    What is the nearest large town?
    (If town is small)
    How far away is it?
    What other home shows are being held in your area?
    What geographical area, churches, schools, civic groups, etc. do you intend to work from?
    (please be specific)
    If there is another Orient Expressed rep in your immediate area, are you interested in being a hostess?
    Other comments or questions?
    * Picture:
     
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