K-Swiss - Sponsorship

Please complete this form to apply for K-Swiss Advisory Staff Program.

First Name*:

Last Name*:

MI:

Address*:

City*:

State*:

ZIP*:

Home Phone*:

Work Phone:

Cell Phone:

Email*:

Address you would like your product shipped to, if different:

Ship Address:

City:

State:

ZIP:

Job Title:

Employer:

Length of Employment:

Club Total Membership:

Club Total Junior Players:

Please list all of your current sponsorship deals (e.g. strings, racquet, sunglasses):

Please tell us your affiliations:

Certified Teaching Professional

USPTA#:

PTR#:

K-Swiss Sales Rep:

K-Swiss Acct Name:

K-Swiss Acct Number:

Is this your employer? Or is this the retail outlet you are associated with?

Employer

Association

Does your retail sell:

shoes or

apparel or

both?

Total K-Swiss product buy 2008: $

To-date K-Swiss product buy 2009: $

Retailer's Buyer's Name:

Phone:

If you do not have a K-Swiss direct retail affiliation with your club/employer, please tell us how you connect with us on the retail side:

Store Name:

Address:

City:

State:

ZIP:

Store Phone:

Store Buyer:

Please tell us why you should be a K-Swiss Advisory Staff Member:

Previous Member:		No, I'm new.		Yes, I was Ad Staff in 2008.
Gender:		Male		Female

Prefer all-white apparel

Performance Tees: Performance Shorts:

Polo Shirt: Long Sleeve Shirt: Warm-Ups:

Tennis Shoe: Running Shoe:

Username*:
Password*:
Re-Enter Password*:

* I have read, understand and agree with K-Swiss Ad Staff program conditions.