UFF Lead Order form

YES I Want to Order Leadz Now

	QuickStart Package Monthly Subscription: 10 leads for $399.00. One highly qualified MMA or HBB opportunity lead delivered to your email or CRM data base. Leads will be delivered based on availability.
	Part Time Agent Package Monthly Subscription: 20 leads for $699.00. One highly qualified MMA or HBB opportunity lead delivered to your email or CRM data base. Leads will be delivered based on availability. *This package can be split between 10 MMA and 10 HBB opportunity leads.
	Full time Agent Package Monthly Subscription: 30 leads for $899.00. One highly qualified MMA or HBB opportunity lead delivered to your email or CRM data base. Leads will be delivered based on availability. *This package can be split between 15 MMA and 15 HBB opportunity leads.
	Team Builder Package Monthly Subscription: 45 leads for $1099.00. Two highly qualified MMA or HBB opportunity leads delivered to your email or CRM data base. Leads will be delivered based on availability. *This package can be split between 23 MMA and 22 HBB opportunity leads.
	Send me all Money Merge Account Leads Send me all Home-Based Business Leads Send me half MMA Leads and half Home-Based Business Leads

Name:
Address:
City:	State: Zip:
Phone:	Email:
Credit Card:	UFirst User ID:
Expiration Date:	CCID:
Delivery Preference:	Send my leads to my UFF CRM DatabaseSend my leads to me via Email
Comments:

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I agree to the terms of the Leadz Subscription Agreement and to billing my credit card as indicated

above. Cancel anytime. No Partial Refunds Allowed. THIS IS A QUANTITY PURCHASE AND AN AUTO-
RENEWING SUBSCRIPTION.

NOTE: Leads are sent out as they become available. An effort will be made to fulfill your subscription as soon as possible, based on lead availability.