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Client Referral Form / Formulario de Referencias
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* Indicates required question
Your Name (su nombre)
*
Your answer
Your Business Name (nombre de su negocio)
*
Your answer
Are you a customer of Lendinero Financial? Ud. es cliente de Lendinero.
Yes
No
Clear selection
Name of your agent at Lendinero. Nombre de su agente
Your answer
Your cellular number
*
Your answer
Your email (su correo electronico)
Your answer
Reference No 1: Business Name
Your answer
Reference No 1: Owner Name
*
Your answer
Reference No 1: Cellular
Your answer
Reference No 2: Business Name
Your answer
Reference No 2: Owner Name
Your answer
Reference No 2: Cellular
Your answer
How do you want us to pay you?
zelle
ACH
paypal
Clear selection
Zelle account for payments?
Your answer
Paypal accounts for payments
Your answer
For ACH or Wire payments: Bank Name, Account No and Routing Number
Your answer
If you have additional references we will send you a link to fill out. You will see your earnings. Si tiene referencias adicionales le enviamos un link. Tambien, va a poder ver sus ganancias. THANK YOU (GRACIAS)
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