Business Info

Business Name *

Business Phone *

Partner Name

Partner Email

Partner Phone Number

Business Website

Facebook Page

Ad Spend *

$

Monthly payment *

$

What ROI are you looking to achieve with Alpha Media? *

What is your revenue goal with Alpha Media? *

If "Other" is selected

For how long have you run your other marketing channels? *

How much have you spent for each marketing channel? *

1 Month

2–3 Months

4–5 Months

6+ Months

What is your Return on Investment with each marketing channel? *

What markets are you targeting with your other marketing channels? *

Current Timezone *

State Abbreviation *

Business Owner Info

Full Name *

Date of birth *

Spouse/Partner’s Full Name *

Anniversary *

Complete Personal Address *

T-shirt Size *

Email (Use same email you used to sign up and for payment) *

Representative Name (to put in the ad) *

Phone (Use same phone you used to sign up and for payment) *

Information for the ad

Area Code (for GHL phone number) *

States, cities, and/or counties to target: *

Wholesaling, Fix and flipping, Both: *

Wholesaling

Fix and flipping

Both

Are you wholesaling homes, land, or both? *

In which state you are closing most of your deals ? *

Are you a wholesaler, fix and flipper or both? *

Wholesaling Counties

Wholesaling Virtually *

Yes

No

Which platform would you like to run ads on? (You'll need to set up the ad spend for each platform that you choose) *

Facebook ads

Youtube ads

Google ads

If you selected Google ads or Youtube ads, please fill out this form: https://api.leadconnectorhq.com/widget/form/OP2uNAjDNu6LNYx6eFp8

Photos for the Ad

A2P 10DLC Brand and Campaign Registration

Determine A2P Brand needs

Does the business you’re registering have a Tax ID (E.g. EIN, CCN etc.)? *

Yes, the business I’m registering has a Tax ID (E.g. EIN, CCN etc.

No, the business I’m registering does not have a Tax ID (E.g. EIN, CCN etc.)

* You can find your US EIN on your IRS or previous tax return documents (W2, W9 or CP 575).

Business Details

Legal Business Name *

Legal Business Address *

* Enter the exact business name, as registered with the Government and mentioned in your tax documents (W2, W9 or CP 575). E.g. Leadconnector LLC rather than Leadconnector.

Email *

Business Website *

Business Type *

Business Registration ID Type *

USA: Employer Identification Number (EIN)

Canada: Canadian Corporation Number (CC)

Great Britain: Company Number

Australia: Company Number from ASIC (ACN)

India: Corporate Identity Number

Estonia: VAT Number

Romania: VAT Registration Number

Israel: Registration Number

Business Registration Number *

EIN Document (Business Registration)

Please fill this onboarding form