LOI / Influencer

LOI / Influencer
Please read the Influencer Agreement before continuing.

You can find a blank copy of the LOI & Influencer Agreement here: INFLUENCER AGREEMENT BLANK
Yes, I've read it.

Legal Name or Entity Name to be Paid*
This is the name or entity in which we will pay Revenue Share

I understand that while on an LOI, or in an Influencer agreement, I do not have access to the full benefits of an Epique Agent. Influencers do not get extra benefits reserved for agents. Those on an LOI will have access to benefits once the LOI term period has been lifted by either the agent or the Company.
Full Legal Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
I give permission to Epique, Inc. and its subsidiaries to send text or media-based messages to my supplied mobile number regarding my application and for future contact regarding my association with Epique Realty.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Create a Password*
10 digits. Numbers and Letters only. No symbols or spaces.

YesNo
Name of Person who Influenced you to join?*

First NameLast Name
Email of Person who influenced you to join?*
example@example.com
The person named above is your "sponsor" who influenced, attracted, or recruited you to join. This should be the person who either fully introduced you to Epique, or the person who most influenced you to join. The Company does not get involved in disputes about sponsorship. Whoever you name cannot be changed for any reason.

We need a W-9 for you or your entity. Please upload below. You can find a blank W-9 from the IRS at: https://www.irs.gov/pub/irs-pdf/fw9.pdf
Upload W-9*

Cancelof

All Revenue Share is paid via Direct Deposit / ACH. Please upload your Direct Deposit form from your bank, or a voided check for ACH deposit.
Upload Voided Check / Bank Letter for Direct Deposit*

Cancelof

My Products*

Influencer Monthly

$99.00 for each month

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
By signing, I confirm that I have fully read, fully understand, and fully agree to the Influencer Agreement.*
Date*

MonthDayYear
Date
Should be Empty: