Golden Lotus Lineage Group Entry Form

Keitt Media Intake form
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
What's the best way to contact you? *

Email Phone Text
Upload your content

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Cancel of
$CashApp
Venmo
PayPal
Username or email *
The statement I provide are true and accurate *

I understand this may change the decision of KMA.
Who referred you? (Name them) *
When would you like to start? (Ask the person who referred you) *
Will you recommend This business *

Yes Maybe No
What is your commitment time? *

1 to 3 months 1 to 6 months 1 Year
What type of marketing are you looking for?
If you have any questions please ask you, admins, first! Click the drop-down below.
Question please email our admins.
Upon completion of this form, you will be notified by a KMA representative.
Signature *

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What is your payment method and username? Add below. For Example, Cashapp is $yourname *
Zelle
Please verify that you are human *
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Keitt Media Intake form