Partner Program Application- Inspira Financial Leading Finance Company for Healthcare Professionals
PARTNER PROGRAM APPLICATION FORM
If are ready to apply now, please fill out and submit the form below. You may also print and email the completed application to firstname.lastname@example.org or fax to 1-888-448-4946.
Please review the Terms and Conditions of the program prior to submitting the application.
We look forward to working with you.
BY CLICKING THE “I AGREE” BUTTON OR BY REFERRING A LEAD TO INSPIRA, YOU HEREBY AGREE THAT YOU HAVE THE REQUISITE AUTHORITY, POWER AND RIGHT TO FULLY BIND THE PERSON AND/OR ENTITIE(S) (COLLECTIVELY, THE “PARTNER”) WISHING TO PARTICIPATE IN THE RESELLER PARTNER PROGRAM. IF YOU DO NOT HAVE THE AUTHORITY TO BIND THE PERSON AND/OR ENTITY OR YOU OR THE PERSON/ENTITY DO NOT AGREE TO ANY OF THE TERMS BELOW, INSPIRA IS UNWILLING TO ALLOW YOU TO PARTICIPATE IN THE PARTNER PROGRAM, AND YOU SHOULD NOT CLICK TO ACCEPT THE TERMS OF THIS AGREEMENT.