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NEW ENROLLMENT
Welcome to the NewWave and Alaris sponsored Flagship Rewards Program. To get started please fill out this
form and hit submit.
 
PROGRAM ELIGIBILITY
REWARD
GROWTH & TOTAL SALES
REWARD
GROWTH
REWARD
NEW ALARIS
RESELLERS
Top five resellers who have total
annual Alaris sales of over $1,000,000.00 and show growth
of a minimum of $50,000.00 will
be eligible to attend the trip.
Top five resellers that achieve a
25% YOY growth with minimum
total annual Alaris sales of $300,000.00 will be eligible
to attend the trip.
Top two new resellers with minimum total annual Alaris sales of over $100,000.00 will be eligible to
attend the trip.
*You must be a Principal and/or Approved Senior Manager of a NewWave reseller partner to participate.
 
If you do not know your NewWave Account Number please call your NewWave Rep to
obtain that information at (800)536-5222.

There is a 1-2 business day approval time on new accounts. You will be notified via email when your
account has been activated

Note, your SSN will be required if you win prizes totaling $600 or more

* Are Required fields

First Name: *
Last Name: *
Title:
SSN: - -
Phone Number: *
Email Address (user name): *
Create a Password: *
NewWave Account #: *
Company Name: *
Address: *
Suite/Apt:
City *
State: *
Zip: *
 
I understand and agree that I am responsible for all tax liabilities associated with
any and all prizes that I win. A 1099 will be issued for all prizes totaling over
$600 with in a calendar year (including trips)