360 Health Care Service-Services

What are you looking to sell?*

Company

First Name*

Last Name*

Email*

Phone*

Address*

City*

State*

ZIP*

Country*

LinkedIn Profile

Website URLs*

Have you been in a lawsuit?*

Visitor Count*

Site Active Duration*

Lead Types Offered*

Lead Volume*

Call Center Location*

% Internally Generated Leads*

How are lists acquired?*

Jornaya / Trusted Form?

Yes

No

Email Marketing?

Yes

No

Lead Type*

Exclusive

Shared

Use Affiliates?

Yes

No

Use Call Center Affiliates?

Yes

No

Marketing Breakdown by %*

Complaint Handling Policies*

References

How did you hear about us?*

NDA Acknowledgment

Mutual Nondisclosure Agreement

This Mutual Nondisclosure Agreement (“Agreement”) is entered into and effective as of the 2nd day of June, 2024, by and between Muhammad Usman (“INDEPENDENT CONTRACTOR”) and Astoria Company, a Texas company, with offices at 6387 Camp Bowie Blvd, Ste B #631 Fort Worth, TX 76116 (“ASTORIA”).

Both parties agree to maintain the confidentiality of information disclosed during the business relationship and not to share or use it outside the purposes of the engagement, unless required by law.

I have read and agree to the terms of the Mutual Nondisclosure Agreement.

Lead Seller Application

References