How about some extra money?

Please fill out the following form or call Carrier Hotline at 1-866-927-5201.

Enter Your Personal Information

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Prospect Name		Date
Address
City, State ZIP		Phone	() () -
Email

Do you have prior newspaper delivery experience?	Yes No
If Yes, Where and When?
Are you atleast 18 years of age?	Yes No
Are you free 7 days a week, early mornings?	Yes No
Do you own a reliable vehicle?	Yes No
What is the Make and Model?
Do you have auto-insurance?	Yes No
Do you have a valid driver's license?	Yes No
Do you have a Social security card?	Yes No
What is the best time to call you?
Security Code: