YES, I Want to be a Push Stars' Rep!

Here's my contact information and mailing address:

First Name billFirstName
Last Name billLastName
Address billAddress
City billCity
State/Prov. billState
Zip/Post. CodebillPostalCode
Name of School: college
Country billCountry
E-mail address :email
Please check your e-mail address carefully!
Phone Numbers : 
Work Number : workNumber
Home Number : homeNumber
I want to be a Team: role
(Leader or Member) -- Required field
Member: Does Rep Work Activities including postering for shows, handbills and posters at retail and lifestyle locations; supports internet marketing.
Leader: The above plus developing a market plan and coordinating Team Member activities.