Distributor Submission Form - Barbara Boser - It Works Independent Ambassador Diamond Distributor

If you would like to be considered for placement in our featured distributors section, please fill out and submit the form below.

Gravatar*
Do you have a Gravatar account with a clear head shot as your profile image? (head shot should just be of you alone please)
- Yes
- No
- I have no idea what Gravatar is
Our distributor profile system uses Gravatar to display distributor photos.

You can find specific instructions for setting up a Gravatar account by clicking here. After you have set up your Gravatar account, come back and complete this form.
Gravatar Email*
Please provide the email address you used to setup your Gravatar account. (This allows us to automatically pull your profile picture).
What country do you live in?*
Name*
Please Provide You Contact Information
First Last
Distributor Rank*
Please select your current distributor level.
Contact Phone*
Please provide the phone number you would like displayed on your profile page.
Contact Phone*
Please provide the phone number you would like displayed on your profile page.
Address*
For accurate geo targeting, we require your complete address, but your street address WILL NOT be published on the site.

Street Address Address Line 2 City State ZIP Code
Address*
For accurate geo targeting, we require your complete address, but your street address WILL NOT be published on the site.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nearest Metrpolitan Area?
What is the closest large city to you?
Bio*
Please provide 250 - 300 words about yourself and how/why you became an It Works distributor.