Pre-Qualification form for Affiliate Lead Submission

This form allows affiliates to submit their leads to Spider directly and the lead does not get contacted

"*" indicates required fields

Please enter your customer's details

Customer's Name*
By providing & telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.

Customer's Business Information

Have your customer received any PPP loans? (Note: This does not disqualify them from receiving the ERC)
Please add any relevant information about your customer:
1. Ownership information of the business
2. Are any employees family members of the owner(s)
3. Name, title and phone number of person who will sign the tax forms
4. Any other relevant notes or information
This field is for validation purposes and should be left unchanged.