QEarn User Registration - SITE BUILD
Email Address to be Used to Access QEarn Dashboard
Confirm Email Address to be Used to Access QEarn Dashboard
Username/URL Requested (this will show up as: canadian-financial.ca/username and you will use it to login to the QEarn site)
This is how client's will see your landing page listed. Only lower case letters (a-z) and numbers (0-9) are allowed. No spaces and minimum of 5 characters.
If landing page request is for an affiliate link with no business associated, please enter the person's first and last name here.
Physical Address of Business
If QR stickers are being left for client's to scan, this needs to be the address of where the stickers are located.
This website will be displayed in your profile information.
Drop a file here or click to upload
Maximum upload size: 6.14MB
Please attach a .jpg, .png, .gif or .mpg image.
Business Email to Receive Leads
Email to which leads will be sent
Secondary Email to Receive Leads (not required)
If leads need to go to another email
This will be displayed in your profile information.
Hide Canadian Financial Agent Signature on Page?
Only hide signature on case by case basis;
If you are human, leave this field blank.