Leveraged Resources
   

Industry Partner Program Application

Company Name: *
Contact Name: * First: Last:
Address Line 1: * Do Not Publish
Address Line 2: Do Not Publish
City: * Do Not Publish
State: * Do Not Publish
ZIP: * Do Not Publish
Phone: * Do Not Publish
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Email Address: * Do Not Publish
Web Site: Do Not Publish
Type of Service Provider (Used to Categorize): *
CPA   Insurance   Bank   Bonding   Legal   Other
If other, please specify:
Number of Contractor/Service Clients (Not Published): *
0-5   6-10   11-30   31-50   More than 50
Brief Description of your company and/or services ( Limit 100 words): *
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Contractor Resource Center *
YES- Please publish the information I have NOT Opted Out of to your Contractor Resource Center
NO- I want to be part of the Industry Partner Program but prefer not to have my information published
Please contact me to discuss participation in:
Referral Rewards
Certified Consultants Program
Sage Accountant’s Network
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