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Referral Form
Referring Partner Information:
Name:
Company Name:
Email Address:
Phone Number:
Commission Tier:
Tier 1 (Up to $50,000 in business)
Tier 2 ($50,001 - $100,000 in business)
Tier 3 ($100,001 - $200,000 in business)
Tier 4 ($200,001 or more in business)
Merchant Information:
Merchant Name:
Business Name:
Business Type:
Contact Person:
Phone Number:
Email Address:
Business Address:
City/State/Zip:
Financial Information:
Estimated Monthly Revenue:
Amount of Funding Needed:
Additional Notes or Comments:
Terms & Conditions:
By submitting this form, the referring partner agrees to the terms and conditions of Swift Advance Partners' referral program.
Referrals must be new clients to Swift Advance Partners to qualify for commissions.
Commissions are paid based on the agreed-upon tier structure after successful funding.
Swift Advance Partners reserves the right to accept or reject any referral based on its internal evaluation criteria.
Submit Referral