Lead & Claim Form

Date

Freelancer / Channel Partner ID

Type

Customer Name

Phone

City

Comment

Consent

I confirm that I have the consent and have personally spoken / met the person and I authorize 24acres and its representatives to contact the customer on my behalf.

*Claim will be accepted only if it is submitted within 7 days from the date of subscription by the customer.

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User Role *

First Name *

Email Address

Phone Number

Password *

City *

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