Add A User Request

Tell us more about your new team member.
Please note: this form must be submitted separately for each new user on your account.

Who is the Jungo Account Holder?
Please submit the primary Account Holder's information to ensure the fastest possible service.
Your System Administrator's Name*
First Name Last Name
Administrator's Company*
Administrator's Phone*
Administrator's Email*
Are You Replacing an Existing User?
Are You Replacing a User?*
- Yes
- No
Name of Existing User to Remove
New User Information
User's Name*
First Last
User's Title*
NMLS
User's Company Name
User's Email*
User's Website
User's Apply Now URL
User's Office Phone*
User's Mobile Phone Number
User's Fax
User's Facebook URL
User's Twitter URL
User's LinkedIn URL
User's Instagram URL
Branch NMLS
New User Address
User's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
New User Logo, Photo and Database
Upload User's Logo
Upload User's Logo
Max. file size: 200 MB.
Upload User's Photo
Upload User's Photo
Max. file size: 200 MB.
Upload User's Database
Upload User's Database
Accepted file types: xls, csv, xlsx, Max. file size: 200 MB.
Define User Permissions
Record Access**
Record Access*
Permission to Send Mass Emails**
Permission to Send Mass Emails*
Permission to Create/Edit Email Templates**
Permission to Create/Edit Email Templates*
Permission to Export Data**
Permission to Export Data*
Permission to Delete Records (Contacts, Loans, Etc.)**
Permission to Delete Records (Contacts, Loans, Etc.)*
Permissions Additional Notes
Permissions Additional Notes
Additional Information
Notes or additional information
CAPTCHA

Who is the Jungo Account Holder?