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510-663-7016
Buyer Form
Adnan Nazir
2024-04-26T14:37:31+00:00
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Buyer Form
Buyer Form
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Buyer Form
Buyer Form
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5
- Contact Information
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trustedcerturl
Looking to Buy
*
Leads
Calls
Company
*
Name
*
First
Last
Email
*
Title
*
LinkedIn Profile
*
Company Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP
*
Phone
*
How long has your company been in business?
*
1-5 Years
5-10 Years
10-15 Years
15-20 Years
More than 20 years
Do you pay by ACH or Wire?
*
ACH
Wire
What are the Payment Terms?
*
Provide the URLs for all websites owned and operated by the Company
*
What campaigns are you currently buying leads or calls in?
*
What is the price per lead/call and how often do you pay commissions?
*
What is the lead or call return policy?
*
What Leads/Call tracking system do you use?
*
For data lead buying, are you fixed price, dynamic pricing, host/post, ping/post?
*
Describe in detail the target audience and conversion goals.
*
What is the geographic targeting?
*
Do you need lead caps?
*
Do you use Affiliates/Publishers?
*
Yes
No
Do you use call center affiliates?
*
Yes
No
For pay per call campaigns, do you require an IVR and have IVR recordings?
*
Bank Reference:
Name
*
First
Last
Company
*
Email
*
Phone
*
Credit Line
*
Trade Reference # 1:
Name
*
First
Last
Company
*
Email
*
Phone
*
Skype ID
*
Credit Line
*
Trade Reference # 2:
Name
*
First
Last
Company
*
Email
*
Phone
*
Skype ID
*
Credit Line
*
Trade Reference # 3:
Name
*
First
Last
Company
*
Email
*
Phone
*
Skype ID
*
Credit Line
*
How did you hear about us?
*
Online Search
LinkedIn
Facebook
Offer-vault
Events
Other
Other
*
By submitting this form, I am giving my express written consent to be contacted for marketing purposes by phone/text at my number provided above (including by automated dialing system, prerecorded message and/or artificial voice), even if my number is on a do not call list, or by email at the email address I have provided. This consent applies to mobile numbers, if applicable, including those previously registered on all federal and state do not call (DNC) registries. Message and data rates may apply. My consent is not required as a condition to purchase goods or services. I agree that I am 18 years or older and provide e-signature to the website terms and conditions and privacy policy.
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