Welcome to the family!

I am so excited to be part or your business success story.

In order to serve you, I need to collect some basic information about you and your business.

First, let me know how to contact you directly. I can't help you if I can't reach you. Right?

In the form below, please provide your best personal contact information.

Do not enter your public business contact information, I will ask about that in another step.

-Clint Fountain

Portal Registration

First Name*

Last Name*

Primary Email*

Primary Phone*

Address Line 1

Address Line 2

City

State / Province

ZIP / Postal Code

After you submit this form, check your email for a link to our client portal.

Please visit the link promptly and finish the on-boarding process in our secure portal.