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:

Company Name *

Company Website

Target States *

Primary Contact Person *

Primary Contact Phone Number *

Primary Contact Email *

Provide Secondary Contact Info

Secondary Contact:

Secondary Contact Person (if applicable)

Secondary Contact Email

Secondary Contact Phone Number

Secondary Contact Role

Billing & Accounts:

Billing Address *

Accounts Contact Person

Accounts Email

Lead Price *

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.

Preferred Lead Delivery Method: (Check all that apply) *

API Post To CRM

Email Notifications

Both

API Documentation (If Applicable)

Please upload your API Posting Documentation (If Applicable)

API Documentation URL (If Applicable)

Lead Notification Email Address

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.

Best way to send disposition reports: (Check all that apply) *

Send Dispositions via API

Update Leads Manually in LeadByte Portal

Live Google Sheet

Send CSV/Excel File

Real Time Portal

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:

Inbound Phone Number

Outbound Phone Number

Inbound Email Address

Outbound Email Address

Reply-To Email Address

Additional Information:

Have you worked with lead generation companies before?

If so, what was your experience? Is there anything you can share that would help us improve our service to you?

Any other information or additional requests you'd like to share?

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