EmailMe Form - Affiliate Application

Are you a US citizen? *
What state do you live in? *
When can you start? *
What field are you in? *
Credit Repair
Real Estate
Accounting
Hard Money Lender
Salesperson
Insurance
Affiliate Marketing/MLM
Other Field?
Who are your target clients? *
Do you have W2 clients interested in business start-up or real estate investment opportunities? *
What is the average amount of funding your clients are seeking? *
Do you have Funding experience? *
Yes
No
If yes, what is your Funding experience?
If yes, what is your average monthly Funding?
What was your income range last year from your book of business? *
How many clients can you start to refer this week? *
What social media platforms do you advertise/post on? *
Do you post in social media groups? Which type? List a few here: *
Why are you interested in being a funding affiliate? *
What is your Facebook/Social Media handle names? *
Do you have a website?
Upload document you wish us to review
Word or PDF Documents Only
Contact Information
Name *
First Last
Email *
Mobile Phone *
### - ### - ####
What is your age? 21-30, 31-40, 41-50, 51-60, 61-70? *
How did you hear about the Affiliate Program?
What is the best time & day to schedule a chat and review? *
Additional information you wish us to know.