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Weekly Numbers Submission Form
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Email Address
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First Name
*
Your answer
Last Name
*
Your answer
Total Number of Submitted Applications
*
Your answer
Total Number of Submitted Annuities
*
Your answer
Total submitted annual premium (including 10% annuity)
Your answer
Vice President or Sales Manager
*
FFL Apex | Rob Richman
FFL Avenues | Jesse Parley
FFL Precision | Garet Duet
FFL Revival | Darren Lawhon
FFL Third Coast | Alex Lebrija
FFL Telos | Christopher Wassarman
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