ARTISTIC!'S BROKER RECRUITING FORM ... GET PAID FOR JUST TALKING!!

"MAKE EASY MONEY ... JUST TALKING TO OTHERS!"
$100.00 On Enhancement Referrals ► $50.00 On All Other Referrals
Or If In Annual Broker's Program 50% Of Our Profits + 50% Of
What Your Brokers Bring To The Network ... GUARANTEED!!!

Just complete this form and return to us by email, fax, or directmail it to us for immediate action. We will notify each person listed below with our corporate literature by email or directmail, and pay you immediately when they register or signup for any of our unique services or programs. If you are not currently registered in any of our Broker Buy-In Programs, you will be paid at 2% of what our agency earns minus (-) all administrative and placement costs for each approved client referral below who applies for a funding transaction and is approved through our agency. For all other referrals, you will be paid at $100.00 to $500.00 based on the amount of the transaction received by your referral. (Additional literature, and tax reporting information to follow by directmail for all applicant's applying.)

YOUR NAME: (PRINT LEGIBLY)
YOUR ADDRESS:
CITY, STATE, ZIP CODE:
EMAIL ADDRESS:
TELEPHONE #: (W/AREA CODE)
WEBSITE URL: (IF ANY)
HOW DID YOU HEAR ABOUT US?
WHAT IS YOUR DATE OF BIRTH?

PROVIDE YOUR REFERRAL INFORMATION BELOW & RETURN!!

REFERRAL NAME #1:
REFERRAL ADDRESS:
CITY, STATE, ZIP CODE:
EMAIL ADDRESS:
TELEPHONE #: (W/AREA CODE)

REFERRAL NAME #2:
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REFERRAL NAME #19:
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REFERRAL NAME #22:
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REFERRAL NAME #23:
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REFERRAL NAME #24:
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REFERRAL NAME #25:
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Return this form by email to:
broker-referrals@artistic-capitalcorp.com

Fax the form to: 1-866-RTISTIC!
(1-866-784-7842) 24/7
If busy, FAX to: 1-888-886-0058 (24/7)

Directmail form to:
Artistic! Capital Corporation
Attn: Referrals By Mail Program
342 E. Jericho Tpke., Ste. 334
Mineola, NY 11501-2111