Testing BOOK YOUR SEMINAR Please select the date of your seminar on the calendar below. Calendar is loading... - Available Contact Information Agent Number:* Agent Name:* Email:* Phone:* Seminar Information Type of Seminar:* !RecruitingMindset City:*! Zip Code:* Radius:* !30 miles60 miles90 miles120 miles Start Time:* 8:00 AM9:00 AM10:00 AM11:00 AM12:00 PM1:00 PM2:00 PM3:00 PM 4:00 PM5:00 PM6:00 PM7:00 PM8:00 PM Hotel Information Please note that you must have your hotel booked before our Recruiting Department will accept your submission. Your hotel information is required to submit this form. Hotel Name:* Address Line 1:* Address Line 2:* City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Marketing Please pick which type of advertisement you'll use for your seminar.* physical mailers social media flyers both Please select a physical mailer type: A B C A B C Desired Amount of Physical Mailers:! Please select a social media mailer type: A B C D A B C D Please select a physical mailer type: A B C A B C Please select a social media mailer type: A B C D A B C D Desired Amount of Physical Mailers:! Special Instructions:! Do you want this seminar to be listed on our Senior Life Seminars website? Yes No Want to order other types of marketing materials? Click here. Payment The cost of your seminar will depend upon the amount of physical mailers you've requested, if any. Calculate My Cost Based on the physical mailer amount that you've entered (), the cost of your seminar will be: $. Which account should be charged for this payment?! My Account My Team's Account I Have Not Requested Any Physical Mailers - No Charge Individual Payment Information Writing Number: PLEASE NOTE: all locations subject to review before approval • amount of mailers available may vary per location • if a Mindset seminar is selected, then you must agree to send out x amount of mailers • this does not include any additional requests such as meeting space, rentals, etc • other conditions may apply Team Payment Information Individual Percentages Covered Writing Number: Name of Manager: PLEASE NOTE: all locations subject to review before approval • amount of mailers available may vary per location • if a Mindset seminar is selected, then you must agree to send out x amount of mailers • this does not include any additional requests such as meeting space, rentals, etc • other conditions may apply PLEASE NOTE: all locations subject to review before approval • this does not include any additional requests such as meeting space, rentals, etc • other conditions may apply
