Please fill out the form below and a Captivate Consultant will contact you with a Pay Per Sale Marketing and Lead Generation proposal. Please note, As an investment is required by Captivate to create all lead generation and marketing campaigns we cannot approve all partnership requests. If a proposal is prepared we have done the necessary research and have determined that a mutually profitable relationship can exist.


Captivate Proposal Form
Company Name*
First Name
Last Name*
What is your target market
What type of Services do you provide?
Average Gross Sale Amount
Current Website Enter None if no website
Current Estimated Website Visitors Enter Unknown if not sure
Current Monthly $ Spent on Website Marketing
Tell us about your existing online lead generation
What are your goals
Lead Source