JLR Veterans Careers Program Retailer Agreement

JLR Retailer Information
Business Name Retailer Code
 
 
Name of Retailer Principal / Authorized Hiring Agent JLR Region
Date
 
Participant First Name          
      
Participant Last Name
Address
Address2
Address3
City & State
 
Zip Code +4
   

Retailer Service Manager Information
First Name
Last Name
Service Manager's Phone Number -- Extension
 

 
To complete the registration process check the acceptance acknowledgement block below, and confirm your email address and Retailer Code.
I have read, understand, and agree to the JLR Veterans Careers Program Retailer Agreement.
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