1. I have read and I understand the complete description of your program.
2. I understand that I am receiving the 5 items listed in the “IMO/AGENCY” Package and not just the 20 weekly “RESPONSE” leads.
3. I understand I will receive online access to the 5 items listed in the "IMO/AGENCY" Package within one business day.
4. I understand I will receive the "Response" leads (20 per week for up to 12 weeks based on the amount of carriers I selected above) via EMAIL beginning in approximately 7-10 BUSINESS DAYS. I understand I must be eligible to contract with or transfer with the carrier for it to count towards the free leads.
5. I understand that I will receive the leads that I selected on my sign up form and that I cannot change my order once I start receiving my free leads.
6. I understand that I should follow the instructions provided with the leads in order to generate the maximum amount of appointments.
7. I understand that it is my responsibility to notify “National Annuity and Life Sales” within 10 business days if my leads are not received and that “National Annuity and Life Sales” is not responsible for my leads being deleted or placed in a spam folder by my email service provider.
8. I understand that the 20 weekly “RESPONSE” leads are just one part of the “IMO/AGENCY” Package and are meant to be a supplement to the other items in the “IMO/AGENCY” Package.
9. I understand I should implement some of the other 10 lead programs to take full advantage of your program along with qualifying for your “First App” Promo.
10. NALS is making an initial investment in your business by providing you with our leads along with access to our exclusive copyrighted material, training and lead programs. Therefore we expect an honest effort on your part to work the leads and programs as instructed and attempt to place a portion of your business with the carrier(s) you contracted with through NALS. For our protection and to prevent abuse of our leads and programs, NALS does not provide contract releases within the first six months of joining our program.
11. I understand this program is for my use only and may not be copied or distributed to any other persons.
12. I understand that the “up to 12 weeks of leads” contracting offer is ONLY good at time of sign up and that if I decide to add carriers to NALS at a later date that it DOES NOT add extra weeks of leads to the offer.
13. I understand that the 20 weekly leads, direct mail leads and telemarketing leads are all provided by a 3rd party insurance lead vendor and not generated or provided directly by NALS. NALS assumes no responsibility for the accuracy or quality of the leads.
14. I understand that certain rules, limits, exclusions and restrictions may apply with this offer.
15. NALS offers UP TO 9 months advanced commissions on most carriers for Life and Final Expense products based on the following: 1. All NEW agents to NALS will be offered 6 month advanced commissions to start and can be raised to a 9 month advanced after 120 days based on production and quality of business with us. 2. Any NEW agents to NALS that provides proof of last 12 months of paid-for life premium of at least $25,000 with a persistency ratio of at least 75% will be offered 9 month advanced commissions instead of 6 month. 3. Any agents with bankruptcies in the past two years, current major credit issues or any outstanding agent debt with other carriers may not qualify for our advanced commission program. Agents will be placed at as-earned commissions only to start and can be raised to a 6 or 9 month advanced after 120 days based on production and quality of business with us.
16. I have reviewed the commission schedules on page 4 and agree to the terms.

I understand that National Annuity and Life Sales will provide the following services to me:
1. They will set up and maintain my Personalized IMO/AGENCY Website to recruit and contract agents ON-LINE.
2. They will handle and process ALL of my agents contracting paperwork that I submit.
3. They will provide EACH OF my AGENTS that I contract The “GENERAL AGENT” Package at no cost unless they are declined contracting.
4. Upon my agents first submitted application with my organization, they will make available to my agents the “First App” Promo.
5 They will provide toll-free support for me and my agents.
6. Provide up to 1000 names per month of insurance agents to contact as requested.
7.I understand that if I cancel my $19/month IMO subscription, National Annuity and Life Sales will remove my recruiting website and will no longer provide any of the benefits listed above to me or my agents however, I will retain my contracts at the current IMO commission levels.

I understand that BEFORE I am provided with the above services I MUST:
1. Execute a new or transfer an existing contract with at least one of your listed insurance carriers AND pay a $99 set up fee before receiving these 5 items along with agreeing to a $19 monthly fee that I can cancel anytime however any fees already paid are non-refundable.
2. I understand that if I add the website hosting and live quoting engine option, that the set up cost and monthly hosting fees paid are non-refundable if I cancel. 2.

I understand and agree to the following:
1. I must submit my agents contracts directly to National Annuity and Life Sales for processing.
2. Once I submit my $99 payment, it is NON-REFUNDABLE unless my contracting is declined with ALL of the carriers I submit. NO exceptions.
3. That if I am declined contracting or not approved with at least one of your carriers, I will also not receive the 20 weekly leads.
4. National Annuity and Life Sales is providing me with this opportunity and will provide assistance, but has not guaranteed that I will be successful or make any stated amount of money and that my success and income will be determined by my effort.
5. That I am responsible for any cost and effort in recruiting my agents.
6. I must obtain a non-residence license in any state that I recruit agents in outside my resident state unless not required by that state.
7. I am an independent contractor and that my commissions and agent overrides are paid directly from the insurance carriers unless otherwise stated. All Commissions are paid upon issue and delivery of policy, not submitted.
8. Any carrier appointment that I transfer AWAY from National Annuity and Life Sales will be removed from my IMO/Agency website and any agents recruited with the carrier will no longer qualify for the programs offered by "National Annuity and Life Sales".
9 I understand that my IMO/AGENCY website will ONLY include the carriers that I am licensed with through National Annuity and Life Sales.
10. After I submit my application and payment, I must sign then fax or mail the signature pages to National Annuity and Life Sales to complete the contracting process.
11. That the “First APP” Promo becomes available upon my first submitted case. For carriers that do not process agent contracts UNTIL the first submitted case, then I understand that I MUST be APPROVED by that carrier before the case is considered submitted. I also understand that an incomplete app or an app that has any missing documents will NOT be considered submitted UNTIL all missing documents are received from the agent.
12. The “First APP” promo or any other program, incentive or promotion offered by “National Annuity and Life Sales” is only valid to our agents in good standing. (No current Letter of Intent to transfer or agent debt with us).

I have read and I understand the complete description of your program and agree to the terms above.

How did you hear about us? (Please check one)
Yahoo search Google search Other search Agents Sales Journal
Life Selling Magazine Senior Advisor Magazine Post Card
Phone call E-mail Another Agent / (Referring Agent name)=
Other I am a current member

We are always looking to help agents succeed. If you know any agent you would like us to share this opportunity with, please list them below and we will send them an information kit. If any agent you refer to us signs up for our program, we will send you a free $20 gift card per agent once they submit their first case with any one of our carriers.
NameEmail or Phone
NameEmail or Phone

Questions or Comments

PAYMENT OPTIONS: $99 Set up plus $19/month. Cancel anytime.




*Upon receipt of "IMO/AGENCY" Package payment you will be forwarded to our "Online Contracting Page" to complete your carrier(s) contracting paperwork that you selected above. Once we receive your signed carrier contract(s), we will submit to our carrier(s) for verification. This can take up to the next business day. Once we receive verification, we will:

- Email you an ID and Password to access our "IMO/AGENCY" Package agent website for complete information and material.
- Order your FREE weekly "Response" leads. Your first set of leads will be emailed within 7-10 days.
- Build your recruiting website.