Vol. 9 Iss. 12 - iarfc

Referral Program
Here’s a prospective RFC member!
Please send me:
250 Consumer Referral Cards
Please select one item on the left. After the prospective RFC member
completes and returns his/her application, you will receive your selection.
Please print or type the information below
__________________________________________________________________________________________
First (Given) Name Middle Name Last (Family) Name
Prefix: Mr. Ms. Mrs. Sex: M F
__________________________________________________________________________________________
Firm Name, Insurance Company or Broker/Dealer
— or —
25 Full Size Consumer
Brochures — “Do You Need
A Professional Advisor?”
__________________________________________________________________________________________
Street Address
__________________________________________________________________________________________
P.O. Box / Suite Address
__________________________________________________________________________________________
City State Zip Code
__________________________________________________________________________________________
Country
__________________________________________________________________________________________
Phone
Fax
— or —
__________________________________________________________________________________________
E-mail
50 Tri-Panel Consumer Brochures
__________________________________________________________________________________________
Referred by:
__________________________________________________________________________________________
Address
FAX TO: 513 424 5752
__________________________________________________________________________________________
City State Zip Code
Page 28 The Register | December 2008