Do you have the permission and/or approval of a principal officer for this organization? If so, please type in the name of your principal officer below:

By submitting this form you authenticate or attest as being true or as represented all information stated on this form. Moreover, you hereforto subscribe to having the authority to act for and on behalf of the above mentioned entity as an authorized officer, agent, partner, or representative that by the acknowledgment and submission of his/her/their name on this instrument the person(s) or the entity upon behalf of which [you] the Sales Representative acted, has hereby executed this instrument in the capacity as recited.

All buyers must complete SALES REPORTS to issue payments