LTCCEO Order Now!

Long Term Care Insurance Software, Information and Sales Aids for long term insurance agents and financial planners. Insurance Agent Sales Software and Insurance Agent Sales and Tools

LTC CEO Complete Selling System Order Form
Required Fields in RED

Please complete form and fax to Fax: 763-525-1977 or mail check and order form to:
GoldenCareUSA
10700 County Road 15-#400, Plymouth, MN 55441
Phone orders: 800-842-7799 Ext. 555

Qty	Item	Price	MN Sales Tax	Total
1	LTC CEO Sales and Training Tools	$99.00	$6.44	$105.44

Payment Information:

Last Name	First Name M/I
Title
Organization
Billing Address
Address (cont.)
City	State/Province Zip/Postal Code
Work Phone	Home Phone
FAX
E-mail
URL

Payment Method:

Please charge my:

Please call 800-842-7799 Ext. 555 with credit card orders!

Check**

Promo Code*** (if applicable)

*Required fields if paying by credit card. Your credit card statement will show payment to our vendor, A.I.U.
**If paying by check please complete Order Form, print, include with your check made payable to:
GoldenCareUSA
10700 County Road 15-#400, Plymouth, MN 55441
***If you have been offered a special promotional price discount, enter the appropriate code, pay the full $99.00 price plus tax and GoldenCareUSA will promptly send you a rebate check for the difference.

Shipping Address:

Same As Billing Address

Street Address
Address (cont.)
City	State/Province Zip/Postal Code

~ Details of LTC CEO Sales Tool Kit Agent Reimbursement Plan ~

The entire GoldenCare USA team congratulates you for ordering your LTC CEO Sales Tool Kit and wishes you great success! To further show our unparalleled commitment to our agent force and as added proof of our belief in the LTC CEO Sales Tool Kit, GoldenCare USA is proud to offer our agents a COMPLETE 100% REIMBURSEMENT of the LTC CEO Sales Tool Kit purchase price.

That's right! As soon as your first four (4) United of Omaha LTCi policies written after your LTC CEO Sales Tool Kit purchase are issued, GoldenCare USA will send you a FULL REIMBURSEMENT of your LTC CEO Sales Tool Kit purchase price. All you have to do is let your LTC CEO Sales Tool Kit help you close more sales and earn more money. Then, after your first four (4) policies are issued, simply contact GoldenCare USA, and your full reimbursement will be on its way -- EVERY DOLLAR YOU SPENT FOR YOUR LTC CEO Sales Tool Kit!

Important Details -- To qualify for reimbursement, policies must have been written by the agent who purchased the LTC CEO Sales Tool Kit between the date of LTC CEO Sales Tool Kit purchase and the immediate 12 months following purchase. Policies must be written, issued and placed within the GoldenCare USA agent/agency hierarchy structure for the GoldenCare USA sponsored United of Omaha Assured Solutions or Assured Solutions Plus LTC policies, by active GoldenCare USA independent or career agents with an understanding that monetary reimbursements will only be paid to active GoldenCare USA independent or career agents. Unless expressly permitted, policies used for the LTC CEO reimbursement may not be used for any other GoldenCare USA reimbursement, bonus, or special incentive offer. “Employer Pay All” workplace LTCi policies do not qualify, and certain other policies with underwriting concessions and/or inherent commission deductions may not qualify. This reimbursement is a courtesy plan and final qualification criteria and decisions rest solely with GoldenCare USA. Please contact GoldenCare USA with questions at 800-842-7799 or email us at ceomarketing@goldencareusa.com.