Welcome to Legenex! We are thrilled to embark on this journey with you and to assist in acquiring high-quality MVA leads.

Please take a moment to fill out the following information so we can better understand your needs and tailor our services to meet them effectively.

Client Information:

Secondary Contact:

Billing & Accounts:

Tax Payer Identification Form

Click Here To Download The Signed Taxpayer Identification Form

Lead Delivery Preferences:

We offer multiple options for lead delivery, including API posting to your CRM, email notifications, and ping post. Please select your preferred method(s) of lead delivery from the options provided. If you choose email notifications, kindly provide the relevant email address(es) for prompt delivery. Your selection ensures efficient lead management and optimization.

Disposition Reports and Feedback:

It is vital to receive regular disposition reports and feedback in order to optimize the campaigns towards achieving a cost of acquisition that is acceptable. 

TCPA Consent Information

To ensure compliance with the new TCPA regulations, we need to gather specific information related to your contact details for leads. Please provide the following information to help us update our processes and maintain compliance:

Additional Information:

Thank you for choosing LEGENEX. We look forward to a successful lasting partnership with you!