Summer Break Rep > Apply | Summer Break 2010

Required fields are denoted by an asterisk. These are mandatory and must be filled in.

Contact Information
Name:	*	Who are ya?
Email Address:	*	Primary method of communication
Confirm Email:	*
Secondary Email:
Mobile:	*	Digits please. If the web doesn't work we'll give you a bell.
Address 1:	*	Your Uni address! Where we'll send posters stickers and other promo gear.
Address 2:
Address 3:
Town:	*
County:	*
Post Code:	*
Region:	*
Graduation Year:
Additional Names and Contact Details:		If you've got any mates or minions helping you to promote, put their details here. Start a SummerBreak army!

Promotional Material
Info that appears on your promotional material; flyers/posters etc
Contact Name:	*
Contact Email:	*
Contact Mobile:	*

Your Group
Now we know who you are, lets find out who you're bringing to SummerBreak!
Choose your University / College:		If your University is not listed, contact us
I am representing:
Enter your Group Name:	*	Your group name must be unique. We will not accept university names.
Which Week do you want to promote?:	*	The Week you are choosing to focus on promoting. As a Summer Break Rep you can sell any week but you'll want to choose one that most people can attend.
Verification Details
Because you are representing we need to contact this person to verify you are who you say you are.
Name:	*
Position:	*
Telephone:	*
Email:	*

Website settings
All Reps have their own webpage for their group. It is a great promotional tool that allows you to log in, update your page & information, post news and upload images. Even if you choose not to have one, you will still be able to customise & order promotional material and view your bookings.
Group Code:	www.summerbreak.com/	This is your website URL. It should be similar to your group name. It may be necessary for us to change your code before enabling your group
Password:	*
Confirm Password:	*

Bank Details for Free Places / Cash Back
These details are required so we can automate the payment of your Commission and Free Places.
Name of Account Holder:	*	Use the name as it says exactly on your bank card.
Sort Code:	*
Account Number:	*

Additional Info
How did you hear about SummerBreak?:
Other Details:		If you selected 'Other', please provide us more information on how you found SummerBreak
Have you travelled with Outgoing or Summer Break before?:	No Yes
If so, did you organise the trip yourself?:	No Yes
Which organisations, teams, halls or societies are you involved with on campus?:	*
Why do you want to be a Summer Break Rep?:	*
Describe the specific skills and qualifications you possess that would make you a good Summer Break Rep:	*
If your application is successful, how would you go about promoting Summer Break?:	*
Is there anything in particular we can provide you with that will ensure you bring the maximum amount of people possible? Wacky ideas welcome...:
	I have read and agree to the Terms and Conditions of becoming a Summer Break Rep.