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Interactive demo

SMS opt-in walkthrough

This is a working demo of the partner intake flow. Try submitting both with and without checking the SMS box — both paths enroll you in the program.

Demo — no real data is captured

This page exists to demonstrate the standard partner intake pattern iQPay-approved sponsor organizations use. Inputs you enter here are not submitted, stored, or processed anywhere. To enroll in a real program, contact your sponsor directly.

Example sponsor — benefits program intake

Enroll in the program

Required fields are marked with *.

Used to verify your enrollment and reach you about your benefits.

Optional — not required to receive program services

You can submit this form whether or not the SMS box above is checked. Either way, your application is enrolled.