Company: Contact Name: Address: Office Phone: Contact Cell: Web Address: Contact Email:Iul Marketing Services Agreement • June 8th, 2011
Amount Due For Test (includes up to 50 leads, 50DVDs, and customized website). $4,995 If more than 50 leads are generated during the test, would you like to buy them for $50 each?❒ Yes – All You Have❒ Yes – Specific Number: ❒ No(to be charged at test conclusion) Additional DVDs: Quantity @ $9.95 each: Total Due Now:
IUL Marketing Services AgreementIul Marketing Services Agreement • March 14th, 2012
Step 1: Company Information Step 2: Define Your Service Area Please list the general geographic area that you service (ie, Dallas, Fort Smith Arkansas, Ft. Meyers FL, etc.):Note: Because we use broadcast media to generate leads, leads will come in from the entire broadcast area of your market. If multiple agents are receiving leads at the same time, we will divide the area by Zip Codes. Step 3: Number of Leads & Total Purchase Price Circle/Indicate Your Choice: Please ask an MYM representative if pricing for your market is standard or preferred 1 All orders will receive 1 free “replacement” lead for each 10 purchased; see “Replacement Leads” below for details. NOTES: Step 5: Agree ToTerms Please sign your name & date here to show that you have read and agree to all terms of service:X / Date
