LCS Affiliate Website Audit Order Form

Name of Affiliate Placing Order*

First NameLast Name

Affiliate eMail Address*

Please provide the email address where you want us to send the COMPLETED AUDIT {Should be Affiliate Email Address NOT the prospects}

Affiliate Phone #*

Please enter a valid phone number.

Prospects Domain URL*

Please provide the Prospects Website URL that you want the audit for. Providing misinformation will result in a delay and could cost you a sale.

Providing your prospects a FREE web accessibility audit is a GREAT way to sell our service. You should strive to offer these FREE audits to all your prospects.

Please make sure you provide accurate information on this form, otherwise it will cause a delay and could cost you a sale.

Specifically, we need you to:

Provide YOUR email address where you want to receive the completed audit
Your Name & Phone #
Your prospects website URL {the website you want the audit for}

Please Note: if your prospect has more than one website that you want an audit done for, YOU WILL NEED TO COMPLETE A SEPARATE AUDIT ORDER FORM FOR EACH WEBSITE.

Please allow 48 hours for completion of the audit.