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Fill out the form below. Your leads start arriving within 3 business days of submission.

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No Pausing After Submit There is no way to pause leads after submitting. Only submit when you're ready to start.

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First Name *

Last Name *

Email *

What States Are You Licensed in (All) *

List your home state first.

How many IULs have you sold in the last 3 months? What AP? *

PLEASE BE DETAILED. This is to compare the before and after using our process.

What is your Location ID? *

Found in your CRM at app.iul.org: Settings > Business Profile > top of the page. Click the copy icon. If you need assistance please email [email protected] which specific step is causing you issues.

Which IMO Are You With? *

Do you understand how our system operates and how to work our leads as outlined in iul.org/ourapproach? *

Yes, I understand

No, do not send leads until I understand. I'll resubmit the form later.

Do you understand there are usage charges billed in $10 increments? iul.org/usage *

Yes, I understand

No, do not send leads until I understand. I'll resubmit the form later.

This is how the IUL letters are mailed and we tell the leads you're calling.

Do you understand and agree our Terms of Service (at iul.org/terms-of-service) *

Yes, I understand and agree

No, do not send leads until I understand and agree. I'll resubmit the form later.

How did you find out about IUL.org? *

SIGN TO ATTEST: All answers on this form are true and complete, and I understand my results depend on following the IUL.org process as provided *

Clear

I confirm that I am a licensed insurance agent, that my CRM Location is authorized to receive leads through the IUL.org platform, that I am independently and solely responsible for complying with TCPA, DNC, carrier rules, and all applicable laws when contacting leads.