• Media Broker Membership

LET'S GET STARTED!
Admin Team ~ Lisa, Sam, Jenny & Steve
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We are working on setting up your personal 4 Local Media account.  As soon as you complete the paperwork below, you can begin selling any of the 4LM advertising solutions!  We will help you with ongoing sales training, product education, business lead generation and 24/7 support.   There are no contracts or commitments to get started with 4 Local Media.

All new MEDIA BROKERS must complete both the ICA & W9 forms before moving forward with 4 Local Media.  After completing the administration forms, our admin team will provide you with the new person "ON BOARDING" training material.  This agreement / partnership can be cancelled at anytime by either party.  We recommended printing and reviewing the printed copies (BELOW) below before you sign and complete the agreement. 

Updated: December 4th, 2014

Independent Contractor Agreeement
W9 Certification Form
    By signing this form, you are verifying that you have read the entire Independent Contractor Agreement. You agree to all of the terms and conditions and understand these are mutual conditions and covenants.
    This is for payment and check distributions.

    I understand that this agreement with 4 Local Media can be cancelled at anytime for any reason.  If I choose to cancel my MEDIA BROKER membership, I need to email the support team and give them 10 days notice (support@4localmedia.com).  All paying clients and customers will be moved to my direct manager.  

    W9 Taxpayer Identification Number (TIN)
    W9 Certification (correct taxpayer identification information)

SUBMIT FORM HERE

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