Mortgage Broker Beta Group Credit Application Form

First name*

Last name*

Email*

Phone number*

Beta Group Verification*

I certify that I have not received more than 2 credits from this program.

I have sent my Loan Education Packet to at least 50 realtors in the last 30 days.

I had an appointment/zoom call with at least 1 Realtor.

I will submit a video testimonial to be qualified for the beta program

Kindly provide details on using the Authorify Mortgage Premium Membership (i.e. How many did you send, what you heard back, did you get any referral partner, how it helped your business)

Please upload your video testimonial here to be qualified.

By submitting a testimonial, you agree that it reflects your honest opinion, it may be used in our marketing materials and any compensation you received will be disclosed. Typical results will be disclosed if your experience is not typical.

By checking this box, you agree to Authorify's Terms of Use and Privacy Policy, including the use of your testimonial, compensation disclosure, and typical results.*