Referral Prospect Registration Form

The form below is for referral partners of Myndshft to submit their prospect registration. If you do not have a current referral agreement in place but wish to inquire how to do so please contact us at info@myndshft.com. If you already have an agreement in place, please fill out the form below for each prospect you plan to register with Myndshft. Within 48 hours, a Myndshft Account Executive will reach out and initiate next steps with the prospect.