Affiliate Questionaire Fill in the form carefully, all the fields are required, except the comments field which is optional. Camp ID: SID: First Name Last Name Mobile Number Opt In Opt In date and time: Channel Product: Leadsource: Affiliate Shortcode: Current Insurer: Auto and GeneralKing PriceDiscoveryMiWayBudget InsuranceMomentumHollardSantamOUTsuranceFirst_for_WomenVirsekerStandard_BankDial_DirectIwyzeNoneOther Vehicle Make: AudiAlfaRomeoBMWMercedesBuickCadillacChevroletChryslerCitroenDaewooDaihatsuFerrariFiatFordGMCHyundaiIsuzuJaguarJeepLand/RangeRoverLexusmazdaMiniMitsubishiNissanOpelPeugeotRenaultSmartSubaruSuzukiTataToyotaVolkswagenKiaCitreonDihatsuVolvoHondaMahindraHavalOther Vehicle Model: Vehicle Year: Preferred Time of Call: Comments (Optional): Accept Terms: True Offer ID: 10-1?
