Tax Resolution Referral Program Enrollment Form

Please complete this form to enroll in the no-cost tax resolution referral program provided by Whitewood Solutions.

Name Of Person Enrolling Name Of Person Enrolling First Last
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Best Phone Number Best Phone Number - ### - ### ####
Email Address For Digital Marketing Templates And Custom Link To Be Sent
Direct Deposit Information Section For Payments Made To You

Commission Payments Will Be From DM3 Ventures, Inc. - Whitewood Solutions And By Entering Your Information, You Are Certifying That This Account Is Your Account Or You Have Permission To Use This Account For Payments Received.
Bank Name
Bank Routing Number
Bank Account Number
Referral Program Terms And Conditions Section

Please review the information below then sign your name in the signature box to submit your enrollment agreement
Referral Program Terms and Conditions
By Signing your name below, you agree that you have read, understand and agree to the referral program terms and conditions.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.