Below is the enrollment form which must be filled out to
become active in our pay per exclusive lead program. Upon completion, you will
receive leads from your selected territory (if available) immediately. After a
visitor from your selected territory completes a quote request, that
lead will be sent to your e-mail. You can limit how many leads you want per week. You will be charged at the
completion of the week. For a short period of time, the setup fee of $500 is waived. The per lead (exclusive)
rate is $10 at this time.