Distributor Application

Independent Distributor Application

Mobile Alert is neither a franchise nor multi-level marketing. It is a small business that we started from scratch, is duplicatable, and we're happy to share with you. Our goal is not to amass countless distributors, but rather form a network of a few self-motivated, entrepreneurial-minded people.

Geographical limitations are not imposed on where distributors can operate. Rather you will be kept in the loop if and when other distributors come onboard in your state. The more successful you are, the less need there would be to seek more distributors in your area.

Personal Information
Full Name *

Prefix First Name Last Name
Preferred Name
If you go by your first name, leave blank
Age *
Address *
Phone Number *

Area Code Phone Number
Alternate Number

Area Code Phone Number
E-mail *
Skype ID

Rate Your Traits

Self-Motivated *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Patience *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Compassion *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Ability to Listen *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Attention to Detail *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Cooperative *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Problem Solving *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Common Sense *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Follow-up *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Confidence *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Desire to Serve People *

	1	2	3	4	5	6	7	8	9	10

1 is Minimal, 10 is High Degree

Tally your score

Business Readiness
Do you have an ABN? *

Yes No
You may apply for an ABN by going to: https://abr.gov.au/for-business,-super-funds---charities/applying-for-an-abn/apply-for-an-abn/
Do you have a business name? *

Yes No
You may not need a business name, however you can learn about registering a business name by going to: http://www.business.gov.au/registration-and-licences/Pages/register-your-business-name.aspx
Are you registered for GST? *

Yes No
All Mobile Alerts are GST exempt. While you don't have to register for GST initially, it could be to your advantage to do so. You may learn about registering for GST by going to: https://www.ato.gov.au/Business/GST/Registering-for-GST/
Get tips on running a successful home-based business here: http://www.allbusiness.com/101-secrets-running-successful-home-based-business-15645-1.html
Do you have a PC?

Yes No

How computer literate are you?

	1	2	3	4	5	6	7	8	9	10

1 is Novice, 10 is Highly Proficient

Do you have a printer?

Yes No
Do you have a smartphone or iPhone?

Yes No
Can you accept VISA or MasterCard payments?

Yes No
Two inexpensive methods for receiving card payments are www.paypal.com.au and www.liveeftpos.com.au
Familiar with any accounting software for record keeping?

Yes No
We use and recommend www.xero.com
Do you have a website?

Yes No
Do you have business liability insurance?

Yes No
We use and recommend: www.pauldonnellybrokers.com.au/formsBIZPACK_BlankApplicationForm.pdf

Your Resources - Time & Money
Your Time

Conventional education teaches people to trade their time for dollars, and most people do just that. Working for an hourly wage and business income are apples and oranges. Every new business takes considerable time and energy for the first several weeks for very little gain. The true entrepreneur has confidence that their effort is an investment in their future.

If this proved to be a viable business in which you stood to gain a six-figure sum after a year of applying your time and energy, then. . .
How many hours per week would you be prepared to invest. . . *
in your Independent Distributorship?
Initial Outlay

You will need to purchase at least 3 demo units as a bare minimum. We recommend getting at least 10 units to start with.

You will also need to print brochures. We can provide you with a print-ready copy of our brochure with your personal details if you wish.

There is a close correlation between how much time (i.e., phone calls, emails, distributing brochures, etc) and/or money (i.e., media advertising, purchasing product, etc) and the degree of success of your business. We are committed to providing you with guidance, tips, expertise, tech support and a wealth of experience to assist you to leverage your investment.

We understand you will likely have questions you want answered before making any financial commitments. However, assuming all questions are answered to your satisfaction, and after reading the CONFIDENTIAL section below. . .
How many products. . . *
would you anticipate purchasing initially?
Confidential

All 3G models (FD, HD & EZ) retail for $397 and wholesale to distributors for $200. The superseded 2G FD and 2G HD retails for $197 and wholesales for $100.

If you sell an average of ten 3G units a week (which is realistically doable), your profit for the year would be $102,440 minus expenses (i.e., advertising, postage, etc).

Non-Disclosure Agreement
Non Disclosure Agreement

This Agreement is made on the
between Lance Stracke (the "Disclosing Party"), whose address is 3A Devon Court, Warwick, Western Australia, and
Full Name *

First Name Middle Name Last Name
(the "Receiving Party") whose address is
Your Address *
The Parties hereby agree as follows:

In its sole discretion, the Disclosing Party will provide to the Receiving Party certain confidential and proprietary information for the limited purpose of allowing the Receiving Party to evaluate its interest in Purpose for Sharing Confidential Information, in accordance with the following terms and conditions:

1. Definition

For purposes of this Agreement, "Confidential Information" shall mean the information received by the Receiving Party from the Disclosing Party which is marked as "Confidential" and/or "Proprietary" or which would logically be considered "Confidential" and/or "Proprietary" in view of its relationship to the whole disclosure. Information furnished orally, in written form, by electronic means, or by any other means which was identified by the Disclosing Party as confidential and/or proprietary at the time of disclosure, shall be treated by the Receiving Party as Confidential Information.

2. Protection and Purpose

All "Confidential Information" shall be maintained in confidence by the Receiving Party, and shall not be disclosed to any third party and shall be protected with the same degree of care as the Receiving Party normally uses in the protection of its own confidential and proprietary information, but in no case with any less degree than reasonable care. The Receiving Party shall not use any "Confidential Information" received from the Disclosing Party except for the evaluation purposes set forth above.

3. Restrictions

The Restrictions herein provided shall not apply with respect to "Confidential Information" which:

        A. Is known by the Receiving Party at the time of receipt; or

        B. Is or becomes a part of the public domain without breach of this
        Agreement by the Receiving Party; or

        C. Is legitimately obtained by the Receiving Party without a
        commitment of confidentiality from a third party; or

        D. Is disclosed by the Disclosing Party to a third party without a
        commitment of confidentiality by the third party; or

        E. Is independently developed by the Receiving Party; or
        F. Is disclosed pursuant to judicial action or government
        regulations, provided the Receiving Party notifies the Disclosing
        Party prior to such disclosure and cooperates with the Disclosing
        Party in the event the Disclosing Party elects to legally contest
        and avoid such disclosure.

4. Rights and Licenses

This Agreement and the furnishing of "Confidential Information" as provided herein shall not be construed as establishing, either expressly or by implication, any grant of rights or licenses to the Receiving Party or any relationship between the parties.

5. Ownership

All tangible information, including drawings, specifications and other information submitted hereunder by the Disclosing Party to the Receiving Party, shall remain the property of the Disclosing Party. If either party elects not to pursue any further business undertaking, the Receiving Party shall promptly destroy or return to the Disclosing Party all tangible information, and all copies thereof, related to "Confidential Information".

6. Export

The Receiving Party shall not export any Confidential Information without written permission from the Disclosing Party. If the Disclosing Party is permitted to export Confidential Information, the Disclosing Party shall comply with Australian Export Administration Laws and regulations (EAR) and shall not export or re-export any technical data or products received from the Disclosing Party or the direct product of such technical data to any proscribed country listed in the "EAR" unless properly authorized by the Australian government.

7. Termination

This Agreement is to be construed in accordance with the laws of the Commonwealth of Australia and shall terminate five (5) years from the effective date of this Agreement.

DISCLOSING PARTY NAME (The typewritten name below represents an electronic signature.)

Name: Lance Stracke

Title: Managing Director of Mobile Alert
RECEIVING PARTY NAME

Name:
Electronic Signature *

First Name Middle Name Last Name
By having typed my name (above) where it reads "Electronic Signature", I certify that I have read the Non Disclosure Agreement and that I agree to the conditions specified.

Submission of Application
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