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Program 3 - Custom Prospect System:
  • Age Range:
  • Household Annual Income:
  • Program includes Advisormail Free for one year.
  • Choose Your Sales Document and Script subject:
    		• Annuity
    Life Insurance
    • Instructions:  Fill out the information requested below.  You may select only one or up to eight zip codes.  List them in order of preferance with your most prefered zip code first.  Remember, quantities are limited and the larger area you have to select from the better.  Should there be an insufficient number of prospects to fill your order within your requested zip codes, we can attempt to fill your order by expanding your requested area by up to a 10 mile radius.  If there are still not enough prospects, you will be notified and we will work with you to attempt to fill your subscription.
    ( - indicates required field)
    YOUR REQUESTED TERRITORY BY ZIP CODES
     
    Select Zip Codes:
    ZIP 1   ZIP 2   ZIP 3  

    ZIP 4         ZIP 5  

    ZIP 6   ZIP 7   ZIP 8  

    If there are NOT enough prospects available within your requested zip codes, and you DO NOT want us to try expanding your area in order to fill your application, check this box:

    CUSTOMER INFORMATION

    (NOTE TO REPEAT CUSTOMERS - You ONLY need to enter your Name and Email Address. Must enter same Name and Email Address previously used to have setup fee removed.)

    Name
    First
    Last
    Street  Apt. #  

    City  State  Zip  

    Phone   

    Email Address*    *Where prospects will be sent

    Check here if the BILLING INFORMATION is the same as the CUSTOMER INFORMATION, OR if you have been given a Comp Code to enter below.


    BILLING INFORMATION

    Name On
    Credit Card
    First
    Last

    Street 

    City  State  Zip  

    Phone   

    Your subscription includes: the sales/marketing document and telemarketing script; prospects at 40 per week; and, a Professional Advisormail Email Account FREE for one year ($24 value). 

    If you have a Promotional/Comp Code (from your ad or by referal) please enter it here
    Promo/Comp Code:

    I agree to the Terms of Use Agreement

    Your prospect list will be e-mailed to you every Monday.
     
      
     
     
    We appreciate your business and want to
    Wish You Success And Prosperity!
     
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