Kickstart Request

Kickstart Request

Kickstart Program

REQUIREMENTS:

  1. Dealer Services or Agent can offer this program if the Dealer has not sold for the 1st 30 days after initial sign-up;

  2. For the 1st full-term, full-pay contract, the Dealer will receive $100;

  3. If the Dealer sells an additional 10 contracts within 4 months, the Dealer will receive an additional $500.

CLIENT INFORMATION

Client Contact
Client Contact
First Name
Last Name
Address
Address
City
State
Zip Code

PAYMENT

PAY TO/RECIPIENT
PAY TO/RECIPIENT
First Name
Last Name
$
SEND CHECK TO

SEND PAYMENT TO

Address
Address
City
State
Zip Code