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:

Running Club/School:

Coach Professional Amatuer

Club Total Membership:
Number of Miles/week:

Triathlete	# Of Events in 2007		Projected # Of Events 2008
Training Hours/week:

Please tell us your affiliations:

USATF

RRCA

USAT

AIMS

K-Swiss Sales Rep:

K-Swiss Account Name:

K-Swiss Account 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:

Gender:

Male

Female

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.