Premier Leads/Premier Final Expense

Agent Name/Agent Receiving Leads*

First NameLast Name

Agent Email *

Leads will be sent to this email, if different please use the comment section

Agent Phone Number*

Area CodePhone Number

Preferred Lead Area Zip*

Street Address

Street Address Line 2

Leads will be within a 50 mile radius of this zip code

Date Leads Will Start? If no date is chosen leads will start immediately

Date

Calendar link if applicable

Calendar link

Comments

Have questions?

PREMIER LEADS GENERATION

All leads are exclusive, real-time and territory specific. You will receive the following information:

Current final expense coverage/Beneficiary/reason for coverage/full name/dob/street address/city/state/phone number/email address

Do you currently have final expense coverage?
-Yes
-No

-Who would be your beneficiary?
-Spouse
-Child
-Other Family Member
-Other

Reason for Coverage
-To pay for my funeral expenses
-To leave funds to a loved one
-Both if possible

Lead exchanges are available for non-working telephone numbers/disconnected, out of territory (60 miles) and over the age of 80 (fex only). See our exchange policies here

Due to the nature of lead generation we do not offer refunds for lead purchase orders. We have a strict no refund, no dispute, no charge back policy. By clicking submit you agree to these terms and conditions provided by PLG Agent-Leads LLC, dba Premier Leads Generation

Office: 816-605-6950

Operations: 417-705-9204

Signature*

I agree to the terms/conditions and authorize payment Clear

Social Leads

Final Expense-Radius$27.00

FEX (English) 25-50 miles

Quantity

Final Expense-Statewide$24.00

FEX (English) Statewide

Quantity

Final Expense-Multistate$20.00

FEX (English) Multistate

Quantity

Enter coupon

Total $0.00

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