This website contains content that requires the Macromedia Flash Player.
Unless otherwise specified, you can enter these special characters:spaces, dashes (-), underscores (_), periods (.), number signs(#) and apostrophes ('). By submitting this form you certify that you have read and agree to our Privacy Policy. The parties to this Agreement are Biweekly Mortgage Association (BWMA) and the Purchaser whose contact will be entered below. * Indicates required fields
*Your First Name:
*Your Last Name:
*Your Primary Email:
*Main Phone:
Cell Phone:
*Address Line 1:
Address Line 2:
*City:
*State: --US States--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming (Don't forget to select.)
*Zip:
Check this box if your business information is the sameas your residence.
*Business Name:
*Business Email:
*Business Phone:
Business Fax:
Enter the name of referring BWMA member:*
Enter BWMA if you were not referred by another member.
Choose Your Business System:*
Pay in Full($316 after 20% discount, 70% Commission Immediately, Save $79!)
Finance($395, no discount, 55% Commission until paid off, then 70% Commission)
Shipping & Handling and/or Setup Fee:
Lateral Transfer Credit:
Total Adjusted Sale Amount:
Down Payment:*
Total Balance Due:
If financing your total balance due, enter the date the first $50 monthly payment is due: MM 01 02 03 04 05 06 07 08 09 10 11 12 / DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YYYY 2021 2022
Assign and apply first homeowner enrollment(s) to balance due?
Have you already given your credit/checking account information telephonically?
Membership in BWMA is known to be strongly linked with success in this mortgage reduction business. Active membership will clearly be a benefit to you and your company. Each new active member who purchases a business system will receive 90 days of FREE membership in Biweekly Mortgage Association to evaluate and enjoy at no cost.
I agree that after my FREE 90 days, if I elect to continue my Membership, I authorize BWMA or assigns (as a reoccurring transaction) to charge my credit card or checking account for the applicable dues ( $10 a month). I understand that I may cancel my dues at any time, whereby my membership will automatically transfer to the Equity Guard Division of the Association.
As an Active Member each month I submit a minimum of one accepted new client enrollment application or recruit one new BWMA Member, I will not be charged the applicable monthly dues.
After a 90 day free membership evaluation, date for dues to begin will be on the Select Day 1st 15th of Select Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec .
I accept the terms and condition of the Purchase and Membership Agreement for my enrollment into Biweekly Mortgage Association.
Please enter the characters you see below. This is to prevent SPAM submissions and confirm your agreement.
5 9 5 1 4
