Agent Request Form – JF Holdings Agent request form - JF Holdings This form is for agents to fill out when requesting names for a call day. If you are riding with someone, only one agent needs to fill out this form. Requests will be fulfilled by the marketing team before you begin calling. If you have any questions, please contact firstname.lastname@example.org. Full nameCall day date* Date Format: MM slash DD slash YYYY Do you have a plan for this call day?*YesNoIf not, you will be given a county suggestion based on your answers below.What county/counties would you like to request?*Are you traveling with a partner/s?*YesNoWhat is your partner's full name?How far are you willing to drive?Additional questions or requests?Please include any additional requests or questions that didn't get covered in the previous options.PhoneThis field is for validation purposes and should be left unchanged.