Your name Last name Refering Masuta Sales Representative Email Street address City State Zip/Postal Country Phone number Facebook account Instagram account Twitter account How many times a month do you fish? What techniques do you use? What Masuta Fishing products do you own? Masuta RodsMasuta ApparelOther Additional comments I hereby request consideration for membership as a TEAM MASUTA Promotional Staff Member. I have read and agree to the terms of the TEAM MASUTA Promotional Staff Agreement.