HARPER BROWN CAPITAL

My Comp Grid

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LEGEND

Your Level is displayed in green.
All Other Levels are levels you may give out to prospects.

Production Requirements

This production requirement is annual, but reviewed quarterly.

Your Grid has not yet been assigned.

	Your Grid has not yet been assigned.

Recruiting Link - Step 1 of 4

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Your account details

Prior Contact *

I certify that I have spoken directly with the advisor I am sending this contract to and they have given me permission to email them.
I have NOT spoken to this advisor. (DO NOT CONTINUE, CALL THE RECRUIT AND OBTAIN PERMISSION TO SEND THE EMAIL)

Full Name

Your Full Name on File

Your Email

Email Address on File

Provide your recruit's details

First Name *

Provide their First Name

Last Name *

Provide their Last Name

Email Address *

Provide their email address

Mobile Number *

Provide their phone number

State *

Country *

Distribution Channels & Levels

Distribution Channel Contract(s) *

Choose an Alliance Contract Level *

Choose an Insurance Contract Level *

Additional Comments

Confirm All The Information is Correct

Your Details

Full Name:

Email:

Recruit's Details

First Name:

Last Name:

Email:

Phone:

State:

Country:

Comp Levels

Distribution Channel Contract(s):

Alliance Level Offered:

Insurance Level Offered:

Remarks:

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Contracting recruiting & grid