Discount Properties Of Arizona.com
4747 e elliot rd suite# 29-428
Phoenix Arizona 85044
  

Fax this form to

480 240-5891 / email: discountpropertiesofaz@gmail.com




CASH REWARD PROGRAM REGISTRATION FORM

Name: Home Phone: (     )
Mailing Address: Work Phone: (     )
City:                            State:            Zip: Cell / Pager: (     )
Social Security #: Email Address:

ACKNOWLEDGEMENTS

I hereby acknowledge and agree that:

  1. I am not an employee of Discount Properties Of Arizona.com
  2. I am responsible for any income tax liability and for notifying the IRS of my earnings
  3. If I earn $600 or more during any calendar year, Discount Properties Of Arizona.com will issue a 1099 IRS Form for tax purposes as required by law.
Signature
Date

Fax to 480 240-5891 / email: discountpropertiesofaz@gmail.com or mail to
Discount Properties Of Arizona.com
4747 e elliot rd suite# 29-428
Phoenix Arizona 85044