Aged or Live Lead Request
Agency Owner Name:
First Name
Last Name
Name of CRM:
Email
example@example.com
Date of Submission (Lead flow is Mon-Fri; leads will start on the first Mon after this submission)
-
Month
-
Day
Year
Date
Total amount of leads requested for this week?
Have you had each agent upload their states via the State License Link? (leads will not start unless states are uploaded)
Yes
No
Name of Agents that need LIVE leads this upcoming week & the amount of leads each agent should recieve daily (ex; John Doe - 5 leads a day)
Name of Agents that need aged leads this upcoming week & the amount of leads each agent should recieve daily (Max amount we will give an agent is 200 leads this can be done at once or spread across days/weeeks)
Do you understand that Eterna will place your LOA balance in the negative for the week based on this submission? If lead quantity does not fill for whatever reason, credit will be applied on the following weeks order. (Example: 50 leads ordered = $1,000 (50x$20) added to your account balance; commission will go towards this balance until paid in full)
Yes
No
Other
Submit
Should be Empty: