⚠️Fill out this onboarding form⚠️

Welcome to Loudr Media

This information will be used for the following:

- Account creation in our CRM
- Automate lead delivery process to your team
- Set up ad campaigns & creatives
- Build custom landing pages

First Name *

Last Name *

Address

Address *

Business Email *

Legal Business Name *

Business Phone *

Type of Company *

Corporation
LLC
Sole Prop
Partnership
No elements found. Consider changing the search query.
List is empty.

EIN or Social Security Number (Include the "dash" in the number) *

Website Link *

Instagram Page

Facebook Page

Desired Landing Page Domain Name

Target Location for Leads (City & State) *

What CRM/Platform do you use for intake? *

Please provide any API KEYs, URL/URL links or login credentials to allow for lead integration

Click Below to Give Us Access to Your Facebook via Leadsie:

Link: https://app.leadsie.com/connect/loudrmedia/manage

Emails of people who will be receiving the leads *

Primary Points of Contact (Names, Emails & Phone number) *

What is your average take-home amount per settlement? *

Top 6 largest settlements - Amount and Accident Type *

Settlement 1
Settlement 2
Settlement 3
Settlement 4
Settlement 5
Settlement 6

Please list 4 settlement amounts between 70k and 200K (two smaller and two bigger) and their unique stories surrounding the case. Cases with minimal injuries, or large discrepancies between what the insurance company or referring attorney originally offered, and what the settlement actually was.