Leads Giving Form "*" indicates required fields Lead Receiver*Scott Alvord - Advanced Development Concepts, LLCLindsay Bleeker - Financial DivaDaniel Blum - Mass Mutual Financial GroupJack Duran - Duran Law OfficeJeresia Ewell - Jewell LawCindy Lee Farkas - RealtorTayler Lee - Taylered Therapy For YouGreg Fayard - Cardinale FayardJohn Javidan - TriScapes Commercial LandscapingJerry Jozwiak - Lighthouse Printing & GraphicsLucas Dolislager - Rooster ElectricBobby Pena - BPcubed, Inc.Mark Smith - Homesmith HandymanCindi Taylor - Big Valley MortgageMark Teh - Estate Plan Design CenterAdrian Ramirez - InterWest InsuranceKeith Anthony - Keith Anthony Insurance AgencyCatherine Duarte - Rejuvenating Massage TherapyPlease select the member you would like to send the lead to. If you are not sure who to send to, please select the "Send By Category" option below.This field is hidden when viewing the formLead Receiver Email - Scott Alvord This field is hidden when viewing the formLead Receiver Email - Cindi Taylor This field is hidden when viewing the formLead Receiver Email - Mark Smith This field is hidden when viewing the formLead Receiver Email - Mike Eldred This field is hidden when viewing the formLead Receiver Email - Daniel Blum This field is hidden when viewing the formLead Receiver Email - Jerry Jozwiak This field is hidden when viewing the formLead Receiver Email - Mark Teh This field is hidden when viewing the formLead Receiver Email - Cindy Lee Farkas This field is hidden when viewing the formLead Receiver Email - Tayler Lee This field is hidden when viewing the formLead Receiver Email - Bobby Pena This field is hidden when viewing the formLead Receiver Email - Greg Fayard This field is hidden when viewing the formLead Receiver Email - Jeresia Ewell This field is hidden when viewing the formLead Receiver Email - Jack Duran This field is hidden when viewing the formLead Receiver Email - Lindsay Bleecker This field is hidden when viewing the formLead Receiver Email - Lucas Dolislager This field is hidden when viewing the formLead Receiver Email - John Javidan This field is hidden when viewing the formLead Receiver Email - Adrian Ramirez This field is hidden when viewing the formLead Receiver Email - Keith Anthony This field is hidden when viewing the formLead Receiver Email - Catherine Duarte Lead Giver*Scott AlvordLindsay BleekerDaniel BlumJeresia EwellMarcie SheltonJack DuranMike EldredJohn JavidanHans ShaverJerry JozwiakCindy Lee FarkasTayler LeeGreg FayardLucas DolislagerBobby PenaJane E RanlettMark SmithCindi TaylorMark TehAdrian RamirezKeith AnthonyCatherine DuartePlease select your name if you are in this networking group. If you are not a member of this group but would like to share a lead, please select the "Not a Member" below.This field is hidden when viewing the formLead Giver Phone - Scott AlvordThis field is hidden when viewing the formLead Giver Email - Scott Alvord This field is hidden when viewing the formLead Giver Phone - Cindi TaylorThis field is hidden when viewing the formLead Giver Email - Cindi Taylor This field is hidden when viewing the formLead Giver Phone - Mark SmithThis field is hidden when viewing the formLead Giver Email - Mark Smith This field is hidden when viewing the formLead Giver Phone - Mike EldredThis field is hidden when viewing the formLead Giver Email - Mike Eldred This field is hidden when viewing the formLead Giver Phone - Daniel BlumThis field is hidden when viewing the formLead Giver Email - Daniel Blum This field is hidden when viewing the formLead Giver Phone - Jerry JozwiakThis field is hidden when viewing the formLead Giver Email - Jerry Jozwiak This field is hidden when viewing the formLead Giver Phone - Mark TehThis field is hidden when viewing the formLead Giver Email - Mark Teh This field is hidden when viewing the formLead Giver Phone - Cindy Lee FarkasThis field is hidden when viewing the formLead Giver Email - Cindy Lee Farkas This field is hidden when viewing the formLead Giver Phone - Tayler LeeThis field is hidden when viewing the formLead Giver Email - Tayler Lee This field is hidden when viewing the formLead Giver Phone - Bobby PenaThis field is hidden when viewing the formLead Giver Email - Bobby Pena This field is hidden when viewing the formLead Giver Phone - Greg FayardThis field is hidden when viewing the formLead Giver Email - Greg Fayard This field is hidden when viewing the formLead Giver Phone - Jeresia EwellThis field is hidden when viewing the formLead Giver Email - Jeresia Ewell This field is hidden when viewing the formLead Giver Phone - Jack DuranThis field is hidden when viewing the formLead Giver Email - Jack Duran This field is hidden when viewing the formLead Giver Phone - Lindsay BleeckerThis field is hidden when viewing the formLead Giver Email - Lindsay Bleecker This field is hidden when viewing the formLead Giver Phone - Lucas DolislagerThis field is hidden when viewing the formLead Giver Email - Lucas Dolislager This field is hidden when viewing the formLead Giver Phone - John JavidanThis field is hidden when viewing the formLead Giver Email - John Javidan This field is hidden when viewing the formLead Giver Phone - Adrian RamirezThis field is hidden when viewing the formLead Giver Email - Adrian Ramirez This field is hidden when viewing the formLead Giver Phone - Keith AnthonyThis field is hidden when viewing the formLead Giver Email - Keith Anthony This field is hidden when viewing the formLead Giver Phone - Catherine DuarteThis field is hidden when viewing the formLead Giver Email - Catherine Duarte Lead GiverYour Name* First Last Email* Lead Giver Not a Member I'm Not a Member, but would like to give a lead Lead Contact Name* First Last Person desiring your product/service. Must already be expecting a call from the receiver.Lead Type* Hot Lead (They're expecting your call) Warm Lead (I recommended you, but not sure of status) Cold Lead (They need you, good luck) PhoneIs this lead referral for a business (instead of a person)? Yes, this is a lead for a business Company Name*Lead Details*Lead StatusPendingClosedDollars Already Exchanged (because of this lead) - if anyIf this lead has not been followed up on yet, this will normally be empty. But if you entered this lead to record it AFTER business already took place, please enter the dollars that were exchanged because of this lead. Email