Consultant Company Input Form


Please complete the information below to register your Consulting Company (or Brokerage/Agency with Compliancedashboard. If you have any questions, please send an email to customer support, or call us at 888-328-7880.

Enter your company's name.
Enter the address where we can send correspondence regarding Compliancedashboard.
Enter the name of the person we can contact regarding your Compliancedashboard account.
Enter the email address for the General Contact Name listed above.
Enter the phone number for the General Contact Name listed above.
Enter the name of the person who should receive Compliancedashboard invoices.
Enter the phone number for the Invoice Contact Name listed above.
Enter the email address for the Invoice Contact Name listed above. ALL INVOICES will be sent to this email address.

Information for Branding Web Site and Marketing Materials

The Compliancedashboard web site and certain marketing materials may be co-branded with your company logo and company contact information. Please provide the following information to help us complete this process.

 
Maximum upload size: 268.44MB
Enter Company Name as it should appear on the marketing material.
Enter Company Address as it should appear on the marketing material.
Enter Company Phone Number as it should appear on the marketing material.
Enter Company Web Site Address as it should appear on the marketing material.