Union and Association Leads
First Name
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Last Name
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Phone
*
Email
Address
City
State
Postal code
Union or Association Member Date of Birth
*
Union or Association Code (ALTIG Code i.e., SXXXX)
*
Unions or Associations abbreviation
*
Union or Association AD &D Amount
*
$
Union or Association Name
*
Union or Association - Local or District Number
Union Lead - Beneficiary
*
Union Lead - Beneficiary Relationship
*
DELAY START - ONLY 25-30 leads should be entered on a SINGLE DATE. Choose DELAY START to schedule when all leads ABOVE 25-30 should be added into the system for initial contact. Recommended to NOT add more than 25-30 leads on any UNIQUE START DATE.
Yes
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DELAY START DATE - This is ONLY used when DELAY START is chosen for more than 25-30 initial leads. It is recommended to have NO MORE than 25-30 new leads added to any UNIQUE START DATE.
Date Lead Received
*
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Healthy Freedom LLC
