Please allow 2-3 business days
for processing
Use Chrome, Firefox, or Safari when submitting leads. Internet Explorer is not compatible.
Multi-system leads for the same modality & facility should all go on one submission.
Check the
Listen & Lead Guidelines
to see if your lead submission will qualify.
Track your leads
, after they have been processed.
View the
Listen & Lead Payout Process and FAQ
document.
For additional information, review the
Listen & Lead Program Overview
.
Please enable Javascript to view this form.