Partnership application form (#3)
OnCore Leads Affiliate Application
Company Information
Company Name
Legal Name (if different)
Website
Address
City
State
Country
Select Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belau
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo (Kinshasa)
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo (Brazzaville)
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (Dutch part)
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (UK)
United States (US)
United States (US) Minor Outlying Islands
United States (US) Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
How did you find us?
How long has your business been established?
In the industry, who are you currently working with?
Why should we work with you?
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Primary Contact Person
First Name
Last Name
Title
Email
Contact Number
LinkedIn Profile
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Call Lead Generation
Are you generating calls internally?
Yes
No
Are you generating calls from 3rd parties?
Yes
No
If you are generating calls, please detail the specific verticals you are actively generating calls in. For example, if you generate calls in home services, please list out each category (eg., roofing, windows, etc) or for legal (eg., auto accident, bankruptcy, etc). The more information you provide, the quicker we can approve your affiliate application. Please also identify which are internally generated (if applicable) and which are from 3rd parties (if applicable).
Are you generating inbound calls or transfers?
Inbounds
Transfers
Both
How are your calls generated?
SEM
Social
SEO
Email
O&O
Paid Search
Direct Mail
Can you sell calls on a ping tree?
Yes
No
If you can sell on a ping tree, what system do you currently use?
Please attach Ad creative(s) for our review. Your application cannot be processed without Ad creatives for review.
Add File
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Form Lead Generation
Are you generating form leads internally?
Yes
No
Are you generating form leads from 3rd parties?
Yes
No
If you are generating form leads, please detail the specific verticals you are actively generating leads in. For example, if you generate leads in home services, please list out each category (eg., roofing, windows, etc) or for legal (eg., auto accident, bankruptcy, etc). The more information you provide, the quicker we can approve your affiliate application. Please also identify which are internally generated (if applicable) and which are from 3rd parties (if applicable)
We require each form lead to be sent with a Trusted Form certificate. Can you pass this information with each lead?
Yes
No
Do you sell form leads on a ping post?
Yes
No
If you can sell forms on a ping tree, what system do you currently use?
Please attach screenshot of opt-in. You application cannot be processed without opt-in attached.
Upload Images
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Additional Information
Please tell us any additional information you would like OnCore Leads to know.
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