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Referral Partner Registration

  • I have reviewed the agreement link below and agree to the stated terms and conditions, I agree to comply with these conditions and understand that any attempt to circumvent the defined process, procedures and conditions will be a breach of contract.

    Referral Partner agreement

    I certify that I am authorized to make this decision as an individual or on behalf of the stated company. I will assume financial responsibility for payment of any services ordered. I hereby confirm I have read and agreed to the stated service terms and conditions, I also understand that this electronic signature will be given same legal affect as written and signed paper communications, in compliance with the: Electronic Signatures in Global and National Commerce Act.

  • This field is for validation purposes and should be left unchanged.