subject_line
Please use additional enrollment forms if you are offering more then 1 vertical/campaign.
Please enter N/A in any field that is not applicable but required.
Company
*
Name
*
Phone
*
Email
*
Skype ID
*
I am buying Live Transfers for:
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Personal Loans
Credit Repair
Debt Settlement
Education
Student Loan Consolidation
Tax Debt
Auto Insurance
Auto Warranty
Senior Services
Home Improvement/Services
Mortgage Refi/Purchase
Other
Other
Please Give Details About Your Campaigns Below:
CAMPAIGN HOURS
Weekday Hours
*
Weekend Hours
*
Are there any State Restrictions?
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YES
NO
PLEASE LIST RESTRICTED STATES HERE:
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0/255 characters
Call Center Requirements and/or Restrictions
*
0/255 characters
Please list any qualifying questions required before transfer:
*
0/500 characters
Additional Campaign Details
PAYOUT DETAILS
Is this a CPA campaign of CPL?
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CPA
CPL
Other
Other
Payout:
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Buffer Time?
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60 Second Duration
90 Second Duration
120 Second Duration
Other
Other
Pay Terms
*
Weekly Net 7
Weekly Net 14
Monthly Net 7
Monthly Net 14
Other
Other
Is tracking real time?
*
Yes
No
Tracking Details: Please include the platform you use and any additional details you can add
*
0/500 characters