EmailMe Form - **College Consultants Volunteers Agreement**

Company ~ Sponsor *

Community Volunteer Name *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code

Email *

Cell Phone *

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**When you enroll FIVE new families, we will secure another list of 2,000 FREE !

**You will also be awarded a membership scholarship essay competition at no cost.

Click the Icons to Enroll NOW for $500 to receive 2,000 referrals. Value $4,000

Click the Cards Logo or complete the form below. All purchases are exclusive to you and are final. We call the candidates multiple times on your behalf and you receive a $500 expense reimbursement for each enrollment. NO REFUNDS.

Choose a single a zip code that will be the center of your marketing area. We will expand 360 degrees from that point to secure the candidates that match the profile nearest your target zip code location.

We will secure candidates based on minimum household incomes you select.

Zip Code *

Bank Name and Location

Bank Routing Number

Checking Account Number

Check number if you wish # xxx

Credit Card Number

Expiration Date MMYY

2 digit month and 2 digit year only ( i.e. 0425)

Zip Code for Credit Card address

Security Code

Accept or Decline our offer *

Please select one before your offer expires

Date *

MM / DD / YYYY

Signature ~ Email may be used *

Submitted on a secure server and a copy of the agreement will be emailed to you for your records.