Agent eLead Follow Up Form

Please enter the First Name, Last Name, Phone Number and e-Mail address of the eLead.  If no phone number was provided, then enter 999-999-9999.
Please click YOUR NAME before submitting the eLead Follow Up Form.  Print a copy of the form for your records

Agent's Name Lori Klindera Jim Butler        
Alan/Mary-Ann Ange Fries        
Samia Sweiss  Kristi Gallardo   
Bill Harper   Audre Skakoon     
Steve Moore   Linda-Reboh King  
Erin Razinn   Tami Kahlstorf    
Vitaly Feygin Zachary McQuain    		  Ann Stathakis    Un-Named            
 Un-Named         Fernando Leon      
Christine Fretz  Della Anderson     
Carrie Painter   Un-Named            
Un-Named         Un-Named            
 Un-Named         Un-Named           
Un-Named         Un-Named            
Enter eLead Info  
First Name Phone Number
Last Name e-Mail 
       
First Phone Call
Attempt Date		 First Successful  Yes   No
First e-Mail
Attempt Date		 First Successful
e-Mail Contact		  Yes   No
       
Enter any comments
you may have about
this eLead
       
       
   
   
Do not remove this check mark