please complete this form to register your interest in becoming a pmg agent and we will respond to you as soon as possible. thank you
your name:
address:
landline:
mobile:
e-mail address:
please contact me by:	email landline mobile post
best time to call:	anytime asap morning afternoon evening
(answering 'no' to any of the fields below does not preclude you from becoming a pmg agent)
b2b sales experience?	yes no
training experience?	yes no
pc knowledge - we are not looking for technical 'experts', but you will be required to operate a computer. on a scale of 1-10 how would you rate your computer skills?	1 - totally hopeless! 2 3 4 5 6 7 8 9 10 - expert!
what geographical area would you be looking to cover?
please add any additional information you would like to give at this stage: