New Representative Registration Online Form

New Representative Registration Form

Welcome to AVON! Please fill-out the following to get started with your AVON Business.
* Required fields
Date of Application

MonthDayYear
Date
Branch of Sign-In*
Branch Email
example@example.com
Are you an Avon Associate?*

YesNo
Have you had an Account before?*

YesNo
Membership Option*

Will pay in CashWill avail of Credit Line
Have you been an Avon Representative before?*

YesNo
Previous Branch*
Personal Information
Name*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Date of Birth*

MonthDayYear
Date
Age
Must be 15 years old and above to be a Representative. Must be 18 years old and above to enroll to Avon's Sales Leadership Program.
Parental Consent
I,   First Name*   Last Name*   (Name of Parent/Guardian), of legal age, and with residence and postal address at   Street Address*   Address Line 2*   City*   Province*   Zip*, do hereby signify my conformity to the dealership contract entered into by my ward,   First Name*   Last Name* (Name of Representative), with Avon Cosmetics, Inc., and that, as his/her legal guardian, do hereby bind myself to be liable jointly and severally with my ward for whatever obligation my said ward might incur in the course of her dealership.

I do hereby affix my signature here at   City/Province*, Philippines, this   Date*.

Signature of Parent/Guardian*
ID of Parent/Guardian (An applicant under 18 years old must submit copy of parent's/guardian's ID ).*

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Gender*

FemaleMale
Tax Identification Number or TIN (optional)
Civil Status*

SingleMarriedAnnulled or DivorcedWidowedSeparatedOther
Name of Spouse*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Mobile Number of Spouse*
Please enter an active mobile number
Landline Number of Spouse (optional)

Area CodePhone Number
Contact Information
Mobile Number*
Please provide an active mobile number.
Alternate Mobile Number (optional)
Please provide an active mobile number.
Landline Number (optional)

Area CodePhone Number
Email Address*
example@example.com
Email Address
Present Address
Region*
Street Address*

House/Unit/Lot No., Street Name, Building Name (if applicable)

Subdivision or Village (if applicable)

Town / Municipality / CityProvince

Zip Code
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
District, Barangay and Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Barangay / Zip Code*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Province, City/Municipality/Town and Zip Code, Barangay*
Do you have a provincial address?*

YesNo
Provincial Address*

House/Unit/Lot No., Street Name, Building Name (if applicable), Subdivision or Village

District (if applicable) and Barangay

Town / Municipality / CityProvince

Zip Code
Supplemental Contact Information
Name of Relative other than Spouse*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Name of Relative*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Address*

House/Unit/Lot No., Street Name, Building Name (if applicable), Subdivision or Village

District (if applicable) and Barangay

Town / Municipality / CityProvince

Zip Code
Relationship*

ParentAunt/UncleSon/DaughterGrandparentNiece/NephewCousinBrother/SisterOther
Mobile Number*
Please provide an active mobile number.
Landline Number (optional)

Area CodePhone Number
Email Address (optional)
example@example.com
Email Address (optional)
Other Information
Are you related to any Avon Staff/Associate?*

YesNo
Name*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Relationship*

ParentAunt/UncleSon/DaughterGrandparentNiece/NephewCousinBrother/SisterOther
Position in Avon*
Who recruited you in Avon?*

Avon Staff/AssociateSales LeaderAvon RepresentativeSales Leader (OFF SITE)Walk-In
Name*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Proof of Identity

Refer to this link for the List of Acceptable Proof of Identity https://bit.ly/3q28zMe
Upload your Proof of Identification - clear copy, front and back, with photo and signature*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Take a selfie holding your Proof of Identity showing the side where the photo is.*
Proof of Residence

Refer to this link for the List of Acceptable Proof of Residence. https://bit.ly/3q28zMe
Is your Proof of Residence under your name?*

YesNo
What is the name of the owner of your Proof of Residence?*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Upload Certification of the person whose name appears on the Proof of Residence. Certification should contain that the Representative is residing in the address appearing in the Proof of Residence and that he/she is allowing the same to use the bill as Proof of Residence.*

Upload 1 file only up to 3MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Upload Proof of Identification of the House Owner or Landlord.*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Upload a clear copy of your Proof of Residence*

Upload up to 2 files. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Credit Interview

Please expect a video call from your Branch of Sign-In within two (2) hours upon submission of this form. For submissions beyond 4pm, please expect the video call on the following business day within the Branch operating hours.
Credit Interview
Preferred Application for Credit Interview*

Facebook MessengerFacetimeViberSkypeWill submit pre-recorded videoWill personally go to the Branch
FB Messenger Name / Facetime Account / Viber Account / Skype Account*
Preferred Date and Time for Credit Interview*
Pre-Recorded Video

You may refer to this file for the guidelines in preparing a pre-recorded video. https://bit.ly/3iAbfzg
Upload your pre-recorded video here.*

Upload 1 file only. File size of up to 50MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Do you have a Sales Leader?*

YesNo
Your registration form will be endorsed to the Store Manager of the Day for proper handling.
Upline Sales Leader Information

Please ensure that your Sales Leader accomplishes the Sales Leader Certification Online Form. https://bit.ly/3pfiLmt
Full Name of Sales Leader*

Given Name/sMiddle NameLast NameSuffix (SKIP if not applicable)
Mobile Number of SL*
Please provide an active mobile number.
SL Email Address*
example@example.com
SL Account Number (Please enter 13-digit account number of SL - optional.)
Relationship to Sales Leader*

RelativeFriendColleagueNoneOther
Are you together with your Sales Leader now?*

YesNo
Sales Leader Certification
I hereby certify that all information provided in this form and agreement by the applicant are true, complete and updated. Furthermore, I agree that any false representation on my part shall (1) make me liable for the payment of any unpaid obligation of the applicant herein, as well as penalties, interests and damages, and (2) shall be a ground for termination of my association with Avon Cosmetics, Inc.
Signature of Sales Leader*
Getting Started Training
I certify that I have attended the Getting Started Training
Getting Started Training conducted by:*

GS-Certified SLSelf-Study (Avon On/Avon Academy)
Name of GS-Certified SL*

First NameLast Name
Upload screenshot of completion from Avon On/Avon Academy.*

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Upload photo of purchased Getting Started Guide for New Avon Reps*

Upload 1 file. File size of up to 5MB. Allowed file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
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Independent Representative Agreement
Data Privacy Undertaking
By voluntarily submitting your information in this form, you warrant that all the information you have given in this Form are true, complete and updated. You also consent that your personal information may be collected, stored, used, processed and shared by Avon Cosmetics, Inc. with its affiliates globally and third parties for legitimate business purposes, to fulfil your orders, provide appropriate commissions, discounts and incentives and manage your Representative account; to communicate with you and manage our relationship with you; to personalize and improve your Representative experience; to inform you about our products and offers that you may like; and to improve our services, fulfil our administrative purposes and protect our business interests. You also agree to the ACI’s Privacy Policy available at https://www.avon.ph/avon-ph/privacy-policy.html.
I agree to the foregoing and to Avon’s Privacy Policy
Signature*
Please verify that you are human*
Should be Empty:

New Representative Registration Form

Personal Information

Parental Consent

Contact Information

Present Address

Supplemental Contact Information

Other Information

Credit Interview

Sales Leader Certification

Getting Started Training

Independent Representative Agreement

Data Privacy Undertaking