"Lead Order Form and Contracting Information

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PLEASE NOTE:  YOU DON'T HAVE TO ORDER LEADS TO CONTRACT WITH ANNUITY.COM.  WE ONLY OFFER IT TO HELP AGENTS GET STARTED.

YES!  Please enroll me in your subsidized lead system and I will also contract with one or more of your annuity companies.

                                                                                                              Order Date:___________________

 

           FAX BACK: TO 800-397-3840

 

Billing Information:

Agent and/or Agency:______________________________________________________

Address:_________________________________________________________________

City:_________________________ State:__________ Zip Code:__________________

Phone #:_______________________Alternate Phone #:__________________________

Fax #:_________________________Email Address:_____________________________

 

Shipping Information:

Agent and/or Agency:______________________________________________________

Address:_________________________________________________________________

City:_________________________ State:__________ Zip Code:__________________

Phone #:_______________________Alternate Phone #:__________________________

Fax #:_________________________Email Address:_____________________________

 

Demographics:

Ages:__65-75_______________Income:__$50,000/Homeowners State Mailed:________

Circle to Add:        {Females only}           {Homeowners only}

Circle to exclude:     {P.O. Boxes}          {Apartments}          {Spanish Sur Names}

Zip Codes, counties or SCF’s:  Pickup from________  Pick up from_______ Pick up from________

 

_____________   ________________   _______________    ______________   __________________

___________   _____________    _____________   ____________   _______________

___________   _____________    _____________   ____________   _______________

___________   _____________    _____________   ____________   _______________

___________   _____________    _____________   ____________   _______________

 

Subsidized Annuity Starter leads for your first 25-30 leads at approximate $15.00 per lead    

Includes Agent Starter kit and the "$89 Million Annuity Marketing and Training System.

Total Cost:_$450.00 Plus $15.00 S&H

 

Lead Preference: _Annuity P-3_________________________

 

Circle Method of Payment:      {Check}      {Credit Card}        {Money Order or Cashiers Check}

Credit Card #:_________________________________  Exp Date:________________

Scroll #:__________________Print Date:______________ ___ Order#:____________________     

Signature _____________________________________  

 

Please help us by answering a few questions:

1. How do you currently prospect? ________________________________________________________________________

2. Are you full time in selling annuity? _______________________________________________________________________

3. How many appointments do you average per week. __________________________________________________________

4. Could you handle 10-15 annuity appointments per week? ______________________________________________________

5. Years in the business ______________________ Years selling annuities __________________________________________

6.  Approximate annuity production in 2006 _________  2005 _________  2004 ___________

7. Best time and phone number to call you to discuss contracting with us _____________________________________________

 

For additional information please contact Russ Jones at 800-808-6551  FAX  800-397-3840

 

Or email us at support@89million.com

 

Mailing address:

 

Great Western Consulting

550 East 100 South

Hyde Park, UT 84318

 

SAMPLE TEXT OF DIRECT MAIL FLYER!

 

***INCOME TAX ALERT***

 

 

The following information is extremely important:

In 1935, Franklin Delano Roosevelt promised the American Public

that they would NEVER pay taxes on their Social Security

benefits.

 

The Government has imposed new TAXES on your Social

Security benefits. Are you aware how these new laws affect you?

There are ways that LEGALLY, you can reduce, or altogether

avoid, these UNFAIR additional taxes.

 

Section 72 of the Internal Revenue Service tax code states if you

are 65 and over, you are eligible to take advantage of preferential

tax treatment and pay NO Social Security taxes.

 

To see if you qualify, mail this postage-paid card. You will not be

charged for this information! This is a “FREE” service to you.

YOUR IMMEDIATE RESPONSE IS REQUESTED


WE’RE NOT PART OF THE GOVERNMENT BUREAUCRACY THAT IS COSTING YOU TAX DOLLARS.
P3

----------------------------------------------------------

It is very important that you know all the benefits available to you.

Return the POSTAGE PAID card today for complete

information. (Area code and phone number insures proper routing.)

WHY PAY UNNECESSARY INCOME TAXES!

 

Name________________________________________________

Address______________________________________________

City__________________________ State_____ Zip___________

Signature_______________________ Age____ Spouse’s____ Age

Phone Number ________________________________________