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Requestor Information
Please provide a name.
Please provide an e-mail address.
 xxx-xxx-xxxx
Please provide a 10 digit phone number.
Employer Information
Please provide a company name.
 
 
Please select a state.
 
Please provide a 5 digit zip code.
 
 xxx-xxx-xxxx
 
 xxx-xxx-xxxx
 
Producer Information 1
Please provide a name.
Please provide a company name.
Please provide an address.
Please provide a city.
Please select a state.
Please provide a 5 digit zip code.
 xxx-xxx-xxxx
Please provide a 10 digit phone number.
 
 xxx-xxx-xxxx
Please provide an e-mail address.

Consultant Name
 
Please select a consultant.
Plan Information
New Plan
Takeover Plan
Please make a selection.
Yes
No
Please make a selection.
 Enter $
Please provide a numeric amount.
 Enter $
Please provide a numeric amount.
 
 Enter $
 
 Enter $
Please provide a numeric amount.
Please select a plan type.
sp - requires special pricing
Full Service
TPA
Please make a selection.
Please select a IMA Option.
 
 Enter %
Please provide a numeric amount.
 Enter %
Please provide a numeric amount.
  Yes No
Proposal Information
Please select a format.
 
3
Please make a selection.
 
Producer
New Address
Please make a selection.
For Overnight Delivery 3
 
 

       

1 Agents are required to be both properly licensed and appointed prior to selling this product. If you need assistance, forms or additional information regarding the appointment process, contact RMS at 866-761-7900 ext.19.
2 Available if reimbursement of surrender charges from prior carrier is being requested or if plan type requires special pricing. Please complete takeover information above and specify pricing results you are looking for in "Comments".
3 Printed proposals will be sent via two-day delivery unless you supply your carrier name and account number.

Corporate Headquarters
Retirement Marketing Solutions, Inc.
9140 West Dodge Road, Suite 380
Omaha, NE 68114
866.949.6191
rms401k.com

National Sales Office
Retirement Marketing Solutions, Inc.
5475 Rings Road, Suite 110
Dublin, OH 43017
866.761.7900
rms401k.com

Retirement Marketing Solutions, Inc. (RMS) is a national wholesaling organization that specializes in retirement products. With seasoned retirement experts located across the U.S., RMS provides sales support, proposal generation, education, enrollment support and ongoing services to independent brokers and advisors. RMS works diligently to develop relationships with select providers to secure quality products and competitive pricing arrangements on behalf of those who sell the products.

For producer use only. Not for use with the general public or any plan sponsor.