Business Lead Addition Form

BUSINESS LEAD ADDITION FORM

RECITALS

WHEREAS, Company Name: is engaged in the business of marketing, sales and business development; and

WHEREAS, Referrer Name: has introduced or will introduce prospective business leads to Company in accordance with the terms set forth in this Agreement; and

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows.

LEAD DETAILS

SCOPE OF WORK

Referrer will submit the lead described above and reasonably cooperate with Company in connection with initial contact and qualification. Company will have sole authority to determine follow-up activities and to convert the lead into a sales opportunity. The parties acknowledge that submission of a lead does not guarantee engagement or acceptance by Company.

PAYMENT TERMS

Company shall pay Referrer a referral fee for any Lead that results in a Signed Contract with a third party client within the Referral Period. The referral fee, payment schedule and late fee provisions are as follows:

Payments are conditioned on Company receiving payment from the third party client for the portion of services attributable to the referred lead. If Company disputes any invoiced amount, the parties shall negotiate in good faith to resolve the dispute; undisputed amounts shall remain payable in accordance with the schedule above.

TERM AND TERMINATION

This Agreement commences on Start Date: and shall continue until End Date: unless earlier terminated as provided herein.

Either party may terminate this Agreement for convenience upon written notice delivered at least Notice Period (days): days prior to the effective termination date. Either party may terminate for material breach if the breach is not cured within thirty (30) days after written notice.

CONFIDENTIALITY

The parties acknowledge that leads and related information may contain confidential and proprietary information. Each party shall maintain the confidentiality of such information and shall not disclose or use it except as reasonably required to perform under this Agreement. Confidential information does not include information that is or becomes publicly available other than through a breach of this Agreement, or information lawfully received from a third party without restriction.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles. The parties submit to the exclusive jurisdiction of the courts located in that State for any dispute arising under this Agreement.

ENTIRE AGREEMENT

This Agreement, including any exhibits or attachments executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings of the parties. Any modification to this Agreement must be in writing and signed by authorized representatives of both parties.

ADDITIONAL REPRESENTATIONS

Each party represents that it has the right and authority to enter into this Agreement and to perform its obligations hereunder. Referrer represents that, to the best of its knowledge, the lead information provided is accurate and not the subject of any conflicting agreement that would prevent Company from engaging the lead.

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