|
Fill out this form to register for the CPADS.com
Weight loss co-op lead generation system. After you fill out this
form, you will be able to immediately make your first lead purchase.If you
are already registered, do not register again. If you need to change details in your
registration, log in to your administrative system. There are links there that allow you to change
any details you wish.
* Required information
|
|
Referral
Code |
If referred to
cpads.com by a friend, please enter the referral code you were supplied from the referral email in the box below.
|
|
*Email
Address |
|
|
*Type
email Address again for verification |
|
| When selecting a password, please
use only letters and numbers.
|
*Choose
Your Password
Used to access your leads. |
|
|
*Type
password again for verification |
|
|
*First
Name |
|
| *Last
Name |
|
| *Company
|
|
| *Street
Address |
|
| Street
Address Line 2 |
|
| *City
|
|
| *State
|
|
| *Country
|
|
|
*Zip
Code |
|
*Primary
Phone + Extension
(with area code) |
|
Lead
Signup Notification
(Do you want your lead details emailed to you as
they sign up?) |
|
*Retail
Phone + Extension
(with area code) |
|
|
Please
enter the Retail E-Mail address that will appear in the message
sent to the prospect.Example: you@blabla.com |
*Retail-Email
|
|
|
If
you have a retail web site, please enter the full url of that website
here. This will be included in the email that is sent out to the
prospect and additionally the prospect will be directed to that
web site after signing up. If you do not have a retail web site,
the prospect will see a generic thank you page. (An example of a
retail url is http://www.yoursite.com) |
Retail
URL
|
|
|
|
