LOCAL PARTNER REGISTRATION
BUSINESS INFORMATION
Business Name
*
Business Address
*
State
Point of Contact
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Phone
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Alt Phone
Email
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(This is your log in ID)
ADDITIONAL INFORMATION
How did you hear about us?
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Select One
Existing member
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Which SMS® Member?
SMS® Members received incentives for referrals. Please share the name of the member who referred you.
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Is there anything else you'd like to add?
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BECOME A PARTNER!
Please select your SMS
®
Location
CINCINNATI
COLUMBUS
DALLAS/FT WORTH
INDY
NASHVILLE
RALEIGH
ARE YOU SURE YOU WANT TO EXIT?
All new registration data will be lost and you will need to start over.
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