Participant Enrollment - Step 1

Please follow these instructions to complete your enrollment process: Please fill out all sections of this enrollment page, starting at the top and working down. You MUST include your store number. If you do not have a specific store number, please use 999 as your store number. Please choose a User Classification based on your role - either Outside Sales Rep or Branch Manager Please provide a physical street address as we cannot accept P.O. Box addresses. Please register only one time and list only ONE Store number. Multiple registrations will delay your approval! Click "FINISH" to view the confirmation page - Please follow the instructions on the confirmation page carefully. If you click CANCEL your enrollment information will not be saved. If you have trouble registering or have questions about the registration/confirmation process, please contact via email at support@rewardsperformance.com

* Store #: * Store number must be numeric. Company Name * * First Name * * Last Name * * User Classification: Select One Branch Manager Outside Sales Rep * * Address 1   * Address 2 * City   * * State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING PUERTO RICO * Zip   * * Phone *

* Email	*
* Confirm Email	* Email and Confirm Email must match.
* Username	*
* Password	Case Sensitive *
* Confirm Password	* Password and Confirm Password must match.