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CPA/Accountant Referral Partner Registration Form

Name
Address

Business / Professional Background

What best describes you?
Do you currently work with business owners?
How do you typically connect with businesses?
How do you/will you typically connect with businesses?

Referral Experience (Optional but Valuable)

Have you referred businesses for funding before?

Referral Intent & Volume

How many businesses do you expect to refer monthly?
Do you agree not to submit the same referral to other lenders until MCN has approved or declined the application?
Do you agree to the terms of the Referral Fee Agreement?

Payment Information (Conditional Section)

Multiple Choice
Enter: *Account Holder Name *Routing Number *Account Number
Enter: *PayPal Email
Enter: $Cashtag
Enter: *Email *Bank details (if needed)
Enter: *Email *Bank details (if needed)
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