ONLINE INQUIRY

Interested in becoming a Synergy Franchisee?

The medical billing and revenue cycle management arenas are booming segments of the healthcare industry. You can take advantage of this boom by partnering with a leader in medical billing and practice management software, support, education and consulting – The Synergy Companies.

You’ll find that Synergy offers industry-leading, trusted software and healthcare resources - which support medical practice management, patient billing services, and medical billing business and support - that will provide the edge you need to help make you a successful Synergy franchisee.

Synergy Franchising Corp. - Online Inquiry

Join the growing number of entrepeneurs who have found success by franchising with Synergy Franchising Corporation. Take the first step in securing your share of a successful future with Synergy by completing this inquiry form.

Name:
Home Address:
City/State:
Zip Code:
Business Address:
City/State:
Zip Code:
E-mail:
Home Phone:
Business Phone :

Is it ok to contact you at your business?

Yes

How did you hear about Synergy Healthcare Resources?

Professional Status:

If Other, please describe:

Number of years in accounting, healthcare, billing?
Do you have sales & marketing experience?

Do you plan to work from home?

Yes

Geographic area of interest for a Synergy Franchise?

On a scale of 0 to 10, 0 being the lowest, how serious are you?:

Have you ever owned your own business?

Yes

Do you have capital to invest into a franchise
or will you need financing?

Please contact me:

If Other, please describe:

Copyright © Synergy Franchising Corporation
Synergy Franchising Corp.
1150 Eastport Drive • Suite C1 • Valparaiso, IN 46383
(800) 652-3500 • Fax: (219) 531-7540

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