Life Insurance Selling
  Life Insurance Selling is free to qualified professionals. Summary Description
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  Geographic Eligibility: USA


 
1. Do you wish to receive a FREE subscription to Life Insurance Selling?
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First Name:
Last Name:
Job Title:
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Company Name:
(Please provide your Company Name in full: abbreviations could disqualify you)
Address 1:
Address 2:
City:
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Yes, please auto-fill my contact information for other publication qualification forms.
  What is the approximate number of employees in your company? (select only one)


2. Which professional designations do you hold? (select all that apply)
CLU CLTC
ChFC CEBS
CFP CSA
RHU LTCP
None


3. Which of the below is your primary profession? (select only one)
Producer with Financial Planning focus Life General Agent or Manager
Producer with Life/Health focus Insurance Company Personnel
Producer with Property/Casualty focus Other (please specify)


4. Do you sell: (select all that apply)
Universal Life Mutual Funds, Bonds or other Kinds of Securities
Term Insurance Fixed Annuities
Disability Insurance Variable Annuities
Individual Health Variable Life or Variable Universal Life
Group Health Payroll Deduction or Work-Site Mktg. Prods.
Long-Term Care Other (please specify)


5. Do you work in the following markets? (select all that apply)
Estate Planning Senior Market
Employee Benefits Other (please specify)
Business Insurance


6. Last year, what was the amount of your paid personal life production (face amount)? (select only one)
10 Million or more $2 - $2.9 Million
$5 - $9.9 Million $1 - $1.9 Million
$4 - $4.9 Million $500,000 - $999,999
$3 - $3.9 Million $Less than $500,000


7. In lieu of a signature, we require a personal identifying question. What is the day of the month you were born?


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