Pinnacle Marketing a National Marketing Annuities Company

Register to Win a Free trip to Scottsdale, AZ

Your Free Scottsdale Getaway
To find out how you can qualify to join your peers in Scottsdale, Arizona, you must submit the below information to first be considered for this trip. All advisors will be reviewed and must be approved prior to the summit.

(*Required Fields)

*Name:
Company:
Address:
City:	State:	Zip:
*Work Phone:	Mobile:
*Email:	Fax:
*What percentage of your business is comprised of fixed indexed annuities? %
*What percentage of your business is comprised of variable annuities? %
Are you Securities Licensed? (Securities License Not Required) Yes: No:
Broker/DealerName:
What is your annual premium from the sale of fixed and variable annuities? $
Who are your primary annuity carriers and what percentage of your annuity sales is derived from each?
Carrier#1:
Carrier#2:
Carrier#3:
Carrier#4:
Carrier#5:

Created by Contact Form Generator

For agent use only- not for use with general public
Trip awarded at discretion of Pinnacle Insurance Marketing to producing agent only. Agent must be in good standing during the qualification period and currently appointed with the company at the time of the trip. No financial or other considerations available in lieu of attendance. 13120 319038