Billing Tree

Partner Lead Referral

Please fill out the form below to refer your customer to BillingTree.

Referrer Information

First Name *

Last Name *

Title: *

Company Name *

Email Address: *

Phone Number: *

Extension:

Mobile Phone:

Lead Information

Lead First Name: *

Lead Last Name: *

Title *

Phone Number: *

Extension:

Lead Email Address: *

Website:

Company Name: *

Address:

City:

State: *

Zip: *

Industry: *

Primary Product Interest:

Secondary Product Interest:

Additional Information

Urgency:

Software Version:

Current / Expected ACH Transactions (#):

Current / Expected CC Volume ($):

Current Payment Provider:

Number of Customers:

Number of Monthly Statements / Bills Sent:

Comments:

Improve your bottom line

BillingTree's focus on innovation has allowed us to help more than 2000 customers eliminate manual processes and automate their payment cycles.