Virtual Form | Mayhem Rep Site

Thank you for taking the time to help one of our team members!
Please take a couple minutes to just verify the presentation and help the representative with the most important part of their job.

Part 1/3: The Most Important Part of Our Representatives Job

Representatives are not allowed to go door to door or cold call which means that this is the most important part of their job. Who do you know that may be nice enough to sit down for a presentation?

Name	Phone Number

Name	Phone Number

Name	Phone Number

Name	Phone Number

Name	Phone Number

Name	Phone Number

Name	Phone Number

Name	Phone Number

Name	Phone Number

Press The + Button For More Rows!

Name	Phone Number

Part 2/3: Presentation Verification

We are committed to keeping your personal info confidential. We will not provide your personal information to any third party individual, government agency, or company at any time. This is just to make sure that the correct individual is awarded with credit for completing a presentation.

Your Name*

First Last

Phone*

Address*

Street Address City State / Province / Region

Representative Name

Relation*

Family
Friend
Friend of friend

Your Email

Part 3/3: Presentation Results

Do you already own Cutco?*

Yes
No

Did you see something you decided to try today?*

Yes
No

What was the main factor in that decision?*

Any additional comments?