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Registration Form
Client Registration Form
Name
*
Best Phone Number To Reach You
*
Email
*
How did you hear about us?
*
How did you hear about us?
A
Social Media
B
Word Of Mouth
C
Email
D
Refer
Reference
How many workable leads do you have for our team to call?
*
How many workable leads do you have for our team to call?
A
Less Than 100
B
100-150
C
150-200
D
200+
Service Level
*
Service Level
A
Trial
B
Bronze 4-5
C
Silver 8-10
D
Gold 16-20
E
Platnium
F
Starter 15$/hr
G
Growth 18$/hr
H
Scale 20$/hr
I
Custom
Lead Type
*
Lead Type
Field Days
*
Field Days
First Appt Time
*
Last Appt Time
*
Comments
What US states will you need us to call for?
*
What US states will you need us to call for?
What CAN provinces will you need us to call for?
*
What CAN provinces will you need us to call for?
What is your local timezone?
*
Calendly is required, Please provide your Link
*
Additional Back Up Presentation Platforms
*
Additional Back Up Presentation Platforms
A
Google Duo/Meet
B
Facetime
C
Whatsapp
ID Badge
*
Click to choose a file or drag here
Size limit: 10 MB
How would you prefer we handle call backs for missed appointments/no shows?
*
How would you prefer we handle call backs for missed appointments/no shows?
A
Primesetters Calls Within 24 Hours To Re-schedule
B
Agents Calls Themselves
Submit
