Structured Settlements, Annuities, Insurance, Inheritance, Casino or Lottery Winnings

~ Nationwide Buyers of Structured Settlements, Casino and Lottery Payments~

Affiliate Program Form ~ For Structured Settlements, Annuities, Insurance, Inheritance, Casino or Lottery Winnings Business and Mortgage Notes
Complete this survey for consideration in our Affiliate Program. (Only for synergistic, non-competing entities; sites with major traffic that wish to offer a service that their competitors do not (and get a commission for sales from their page(s)).) The information submitted on this form will be held in the strictest confidence. (See our Privacy Policy)

Once your web site is approved, we will make a page on our web site, designed for you, with a submission page (annuity-morg-purchases.com/you, for example). You will then link your web site to that page. Contact us, via this form, for details.)

Your Email Address

Phone

Name

Fax

Street Address

City

State

Zip

Type Of Business You Have
And Any Additional Comments or Information?

Marketing Info: Please tell us how you found us:
If by search list keywords used:
If other please explain:

Alternately, you may print out this completed form and:

fax to us at 1-800-258-7204 or
snail-mail it to us at 70 West Red Oak Lane, White Plains, NY 10604
or phone us with the information at 1-800-338-5815.