Direct Lead Intake Form
NFM Lead Engine Intake Form
First Name
(Required)
Last Name
Cell Phone
Email
Property State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Loan Purpose
Purchase
Refinance
Cash Out Refinance
Investment
Construction
Reverse
Influencer
Choose Influencer Avatar
kelsmorgan12
anutterhomeloan
homeloansinheels
mortgagekeeks
alabamamortgageguy
buynotrentguy
jarrieljordan
itsthatrealestatechick
mortgagestudio
nfm_social
deannellisdavidson
thegenzlender
winthehouseyoulove
StudentLoanTutor
themortgagefox
thecowboyofrealestate
Platform
(Required)
TikTok
Facebook
Instagram
Lead Source
(Required)
Influencer Provided Direct Lead
Direct Message Social Lead
Surefire Blue Form Data Transfer
Follow-Up Type
Text
Email
Notes
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Record Type
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Credit Score
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Authorization
Phone
This field is for validation purposes and should be left unchanged.