Network Information

The information will be used to provide written disclosure to the members in SA Network and to the team.

Name: (Required)

Your Company Name:

Products/Services: (Required)

Please indicate the products/services that you provide:

Explanation of Products/Services: (Required)

In 150 words or less, please provide some details regarding your products/services. For example: Type of Clientele, demographics, companies you deal with, why should the network use your service, anything that will allow the network to refer business to you.

Referral Fee: (Required)

Please indicate the percentage/dollar of referral fee.

Referral Fee Example: (Required)

Please provide a real live example of the commission earned and the referral fee. For example: (Insurance company, permanent life insurance, 250k face value, first year commission= 1000$) 1000$x35% (referral fee)= $350.00

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