FGL LEAD ORDER FORM

Please fill out the following fields with the red asterisk.
When done, select a lead type from the list below.
The lead types are the titles above the checked boxes.
Then, select the corresponing quantity for the lead type which is located below the corresponding section.
The total lead cost will calculate according to your selection(s).
You are able to choose multiple lead types at once.
Once everything has been reviewed, enter your information under the Credit Card section.
Click Submit when completed.
The form will automatically be submitted to the Leads Deparment at First Generation Life.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

CityState / Province

Postal / Zip Code

Preferred Lead Area

City

Zip

County "ONLY" for (Telemarketing/Mail Drop/Mortgage Protection Direct Mail)

State

Any Specific Request (start date, agent splitting mortgage protection leads with, etc.)

Facebook 1.0 (24-48 hrs.)

(exclusive, never resold)

No lead piece, Google Spreadsheet

FE Leads Whole State $15 (ages 50-85, income 30k-65k, other states will be replaced)FE Leads County Specific $19 (Leads within 25 mile radius- ages 50-85, income 30k-65k, over 60+ miles will be replaced)FE SPANISH Whole State $15 (ages 50-85, income 30k-65k, other states will be replaced)FE SPANISH County Specific $20 (Leads within 25 mile radius- ages 50-85, income 30k-65k, over 60+ miles will be replaced)

FE Leads Whole State Quantity

FE Leads County Specific Quantity

Spanish Whole State Quantity

Spanish County Specific Quantity

Facebook 2.0 (24-48 hrs.)

(exclusive, never resold)

Lead piece with every lead

Final Expense $20 (25-50 mile radius, E-mail & Text Notifications, Calendar Link with automatic appointment setting)Final Expense Spanish $25 (25-50 mile radius, E-mail & Text Notifications, Calendar Link with automatic appointment setting)

Final Expense English Quantity

Final Expense Spanish Quantity

Mortgage Protection Direct Mail (Fastest turnaround due to clients calling back vs. mailing back, orders are placed on Mondays and Fridays)

Full Order $480 (10 complete/30 incomplete phone-in leads, on average)

Full Order Quantity

*20 Business Days minimum turnaround from lead request for completed leads! No guarantee for incomplete leads, could take longer than 20 business days! There is NO credit for age or language!!!

Final Expense Direct Mail (3 week turnaround from lead request)

Mail Drop $470CA MAIL DROP $475BPL $33.50 (Not Available in SC, KY, TX, IA, MN)CA BPL $34 (Not Available in SC, KY, TX, IA, MN)

Mail Drop Quantity

CA MAIL DROP QUANTITY

BPL (Buy Per Lead) Quantity

CA BPL QUANTITY

Final Expense Direct Mail leads are ONLY available in the following zip codes BEGINNING in:

284, 285, 278, 279

They are also ONLY available in the Northern States as well!!!

Mortgage Protection Direct Mail ( 3 week turnaround from lead request)

$665-1000 (mailers)$1250-2000 (mailers)$1800-3000 (mailers)

Mortgage Protection Quantity

Aged Mortgage Protection Direct Mail

Ninety Days to Nine Months old $7Nine Months to Twenty-One Months old $4

90 Days - 9 Mo.

9 Mo. - 21 Mo.

Double Verified Telemarketing Leads (recordings are ONLY good for 6 mo.)

Regular - $15 (Basic Information with recording)Premium - $18 (Smoker/Nonsmoker, Checking/Savings, Height/Weight, Cov. Plan)LIVE Transfers - $30 (Premium + "Is the person there that can make decisions for you, if they have 10-15 mins to talk with an agent")

Double Verified Telemarketing Lead Quantity

Please select other counties, in case total quantity requested is not available.

County 1

County 2

County 3

Leads could be RESOLD after 90 days from purchase.

FGL Supplies

Pens (Groups of 20)

Pick Up $18Ship Out $26

Pen Quantity

Tablecloths (taxes included)

Pick Up $64.05Ship Out $79.05

Tablecloth Quantity

Lanyards

Pick Up $4Ship Out $7

Lanyard Quantity

Delivery Notices (50 sheets per book, in groups of 20)

Pick Up $22Ship Out $27

Delivery Notice Quantity

FGL Folders - Pick Up (ONLY sold in Bundles and in groups of 25)

25 Folders - $44.2550 Folders - $78.5075 Folders - $112.75100 Folders - $147.00

FGL Folders - Pick Up Quantity

FGL Folders - Ship Out (ONLY sold in Bundles and in groups of 25)

25 Folders - $58.60 ($44.25 + $14.35 Shipping)50 Folders - $92.85 ($78.50 + $14.35 Shipping)75 Folders - $132.70 ($112.75 + $19.95 Shipping)100 Folders - $166.95 ($147.00 + $19.95 Shipping)

FGL Folders - Ship Out Quantity

Total Cost

Amount Charged

USD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Disclaimer

*Prices subject to change*

*No Refunds*

*Unless based on the following guidelines*

*Any lead over 50+ miles unless marked otherwise, 85 yrs old, bad contact info will be replaced*

*Each Vendor has their OWN guidelines*

*Always consult us first if you encounter an issue*

First Generation Life