Authorization To Represent

*Authorization To Represent & Fee Agreement to bring business*
*Bold fields are required*
*Owners Name*
*Street Address*
*City, State, Zip*
*Phone/Fax*
*Company Website*
*Legal Structure*
*SIC Code*
*NAICS Code*
	The above named company grants AccessCapitalResources.org or its affiliates rights to act as their external sales and arketing team to market, solicit, and generate new business for them. MoneyTower has no up-front fees, therefore activities and expenses relating to the generating of new business will not be billed to the above named company. This form DOES NOT financially obligate your company in any way - it is a tool used only to market your company's products and capabilities. AccessCapitalResources.org or it affiliates is normally paid 7% of each project we manage, new business we generate, and/or any new funding we are able to secure for you.
MARKETING YOUR PRODUCTS AND SERVICES:
Please fax a copy of any certifications you may have to: 1-775-640-7658

	Please list two types of new business that CFOCP can help to generate for your company: 1. 2.
	By clicking the Submit button for our Authorization To Represent, I certify that the information which I have provided, to the best of my knowledge, is true and correct, and to provide additional information as necessary to AccessCapitalResources.org. I also agree to pay for, per my signed agreement, any new business or services provide by AccessCapitalResources.org or its affiliates.
*Initial*
*Email:*
*Authorization*

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DISCLAIMER: AccessCapitalResources.org, its affiliates and principals are not a United States Securities Dealer nor Broker nor US Investment Adviser. AccessCapitalResources.org, its affiliates and principals is a Consulting Firm and in some instances a Private Investor. All emails and related correspondence are never to be considered a solicitation for any purpose in any form or content. We do not intend to, nor do we, provide investment advice or counsel to any particular transaction. You, as the Recipient, hereby acknowledges this warning and disclaimer. If acknowledgment is not accepted, Recipients must return the document copies, in their original condition, to the Sender via email or postal services immediately