Agent Pre-register | Metromedia Funding

Agent/Affiliate Deal Pre-Registration
* Agents/affiliates, please fill all fields out as prescribed.

AGENT FIRST NAME

AGENT LAST NAME

AGENT EMAIL

AGENT PHONE

AGENT COMPANY NAME

Date Entered

Time Submitted

Merchant Information
*This is so we can cross-reference and notify you when it comes.

Merchant Business Name

Merchant First Name

Merchant Last Name

State Business Located In

Please Use The Checkbox To Select What Your Merchant May Be Interested In.

Services/Products Your Merchant May Need

Funding- Merchant Cash Advance

Funding- Real Estate Based- Lease Buy Back or Secured Advance

Web Services, Software Development or Application Development

Cashflow Solutions like consumer financing or factoring

Branding- Logo design, merch design, company uniforms and/or business cards

Videography Services, Promo Video, COmmercial Production or animation

Marketing or advertising tools

Mall Placement at The Metroplex

Template paperwork business plans, contract development

Auto Related - Title Loans, Cars, Trucks, Vans

Credit Card Processing or Crypto Coin Processing

Business Rescue or Consulting

This section is where you can share anything about this potential client that would assist us. Anything you need to assist on closing the deal if one happens, if they have a special circumstance, this is where you tell us.

Anything We should know?