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Medicare and Health Internet Leads Order Form

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Name
Please note: It will appear EXACTLY as you have it typed above.
Cell phone carrier is required so the leads can be text to you as soon as the consumer clicks "submit"

ORDER INFORMATION

Medicare leads are $12 each and Health Leads are $15 each. Payment is required prior to turning on your internet lead campaign. All leads will be added to your TLLM account for immediate access.

Which type of leads do you want to order? (20 lead minimum order)
Would you like to set a daily maximum # of leads? *Note* There is a possibility you could max out in a single day if we do not set a limit
Would you like to set a monthly maximum # of leads?
Would you like to set this up as a monthly ongoing order?

ORDER DEMOGRAPHICS AND GEOGRAPHY

 

Would you like to filter by age?
Do you want to receive leads on the weekend?
PAYMENT OPTIONS: We accept all major credit cards and payment by electronic check.

Return Policy:  Leads that have inaccurate phone numbers or email addresses that are returned within 5 days of the purchase date will be eligible for credit. Otherwise, they’re no longer eligible for return credit. Returns are done on an algorithm that considers a few things when determining if it’s eligible for credit, such as the cost of the leads, how many leads are being returned, how much it costs us on the marketing to generate that lead, etc.

Leads will include consumer name, email address and phone number.  Addresses will be captured where available as that field is optional.

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