VENDORS (LEADS)

Sign up For Vendors

1.PERSONAL ACCOUNT INFORMATION

Date [DD/MM/YYYY]

Name

Address

Phone

Latest Time To Call [HH:MM]

E-Mail

2. COMPANY/CONTRACTOR/VENDOR INFORMATION

Company Name

Company Phone

Company Name

Company Address

City

State

Zip Code

Company City or State of Florida License Number

Florida Insurance Policy Number

3. SOCIAL MEDIA

Website Address

Skype Address

Website Address

What's App Address

Facebook

Twitter

4. BACKGROUND – All REAL ESTATE AGENTS must have completed checks!

Recent OR ANY Criminal or Arrest Record SINCE YOU RECEIVED YOUR LICENSE?

Felony Convictions?

Recent OR ANY Felony Convictions SINCE YOU RECEIVED YOUR LICENSE?

Is there a Current OR PAST ETHICS OR Legal Case/Matter of any sort/kind in your life, if so please explain below?

Have you ever been sued or are you currently being sued over a business issue and if so, please explain below?

Notes/Comments/Explanations

Check Box Goes Here: It is to state that by checking this box, you do hereby authorize out team to contact the name that you provided in order to verify your credit and criminal background history

SERVICES TO BE OFFERED/PROVIDED

You need clients so by what date or when are you looking to start providing your services?

YOUR START DATE

YOUR CREDIT SCORE

Are you behind on your Mortgage Payments – if not applicable to your financial situation just check N/A?

Are you behind on your Bills/Account Payments – if not applicable to your financial situation just check N/A?

Will you consider joining our “Free” Credit Repair Program

Comment: Any Other Financial Consideration Requested

FINANCIAL : Would you like to become a Referral Agent of Record in order to receive leads directly from us at a 30/70 split or 50/50 when Co-Partnering?

Refer your family and friends for even more discounts: Name

Phone Number

Service Cost/Rate

Comment: If you already know the specific amount that you wish to spend or area or property simply type it in the comment box that follows and also please do include any other Financial Considerations being requested or the you want our team to consider

Comment: Any Other Financial Consideration Requested

WHICH PROPERTY TYPES WILL YOU PROVIDE SERVICES FOR?

SERVICE AREAS: Check or click the Areas of Jacksonville in which services are to be provided