Elite Circle 21/REPLACEMENT REGISTRATION
REPLACEMENT CADET FEE $155.00
MUST PRE-QUALIFY & MUST SUBMIT PROOF
NO MORE NAME CHANGE WILL BE ALLOWED ONCE REGISTRATION IS SUBMITTED AND APPROVED
REPLACEMENT CADET INFORMATION
Replacement Last Name
Replacement First Name
Replacement Agent ID
Replacement Agent Level
Are you life-licensed?
Phone Number (numbers only)
Name of Spouse (If applicable)
CURRENT EC20 CADET INFORMATION
Cadet Last Name
Cadet First Name
Which EC21 class did your replacement cadet registered?
For security of your personal account information, please use your PayPal account if you have one. If you choose credit card option, that credit card cannot be associated or linked with your PayPal account or it will be declined.
If using other Debit or Credit Cards and you experienced a payment processing issue, you need to call your credit card company to allow the charge from PayPal/Mission Team LLC:
Proof of Qualification & Payment Information
Minimum personal 5 points in any rolling 30 days starting 11/01/18.
1 recruit = 2pts; 1 sale = 1pt. Must be a combination of recruit and sale of insurance/investment products. proofs must be provided to verify qualification.
Please upload your qualification proof below:
Is Payee same as cadet?
If not, please type name of Payee
Please read and check each box to accept (all items below are required to be accepted):
1. Registration fee is non-refundable and non-transferable. ONLY Cash or Credit/Debt Card are accepted. The enrollment fees are used to cover operating cost of the program including the expenses to have all the leaders around the country to coach the classes.
2. Spouses/significant others are welcome to participate and pay the same price like yours. If you qualify, your spouse can join EC as Qualifier and pay Qualifier’s fee. If you don’t qualify, your spouse can join you as a Non-Qualifier and pay Non-Qualifier’s fee.
3. All other Elite Circle policies; please refer to “EC Rules & Guidelines” which is available from our EC website.
4. The undersigned credit/debit cardholder authorizes Mission Team LLC to charge the above credit/debit card for the fees listed above.
5. The undersigned acknowledges and agrees that the registration fee paid herein is non-transferable to another person.
6. I understand the registration fee is non-refundable but can be rolled over to next Elite Circle session for a legitimate reason. However, the fee will be forfeited if the cadet still does not attend Elite Circle.