Consultant Applicatoin

Mrs. Candles, LLC
Your Name:
Business Name:
Business/Home Address:
City:
State:
Zip:
Phone:
Email:
How do you intended to sell Mrs. Candles products:
Website Name:
Website Address:
Full Name:		Today's Date:
E-Signature:	(e-signature required) I understand that this constitutes my e-signature and I agree to enter into a consultant agreement with Mrs. Candles, LLC.

Mrs. Candles, LLC • 301 E. Walnut St. • Fairbury, IL 61739 • (815) 692-4231 • Monday -Friday • 8:30 - 5:00 CST