(These materials are for those agents who have already attended the CT Partnership's 7-hour Certification Training Course)

[  ]    Producer Kit:  Based on suggestions from many producers, this electronic marketing kit is designed to meet your specific information needs.  The kit diskette includes six different marketing items: Direct Mail Letters, Event Announcements, Issue Sheets, LTC Statistics, Presentation Slides and Radio Ads.  Printed instructions for how to use the materials are also included.  All materials, except the Presentation Slides, are produced in Microsoft WORD 97®.  The Presentation Slides are produced in Microsoft PowerPoint 97®.  The kit expands to hold up to 100 sheets for you to add other items you find helpful during the sales process.  A non-electronic (paper) version of the kit is also available.

[  ]    Presentation Slides:  Includes 25 slides from the Partnership’s Producer Certification training that can be used for general presentations on long-term care and long-term care insurance.  The slides are produced in Microsoft PowerPoint 97® and can be easily revised to include your or your agency’s information.  Please note that these slides are included as part of the Producer Kit described above.

      Quantity  _______  x  $5.00  =  $ ________

[  ]    Producer Certification Training Manual:   1/2" Notebook has all current training materials, including copies of training slides, issue sheets, relevant newspaper articles, and Policy Comparisons Report.

      Quantity  _______  x  $10.00  =  $__________ 

Check the box next to the item(s) you wish to purchase and complete the information requested below.  Mail the completed order form along with payment to:  Connecticut Partnership for Long-Term Care, Office of Policy and Management, 450 Capitol Avenue, MS# 52LTC, Hartford, CT  06106-1379.

 Name:  ________________________________________________________________

 Mailing Address:  ________________________________________________________

City:  ____________________  State:  ___________  ZIP   __ __ __ __ __ - __ __ __ __

 Telephone:   (__ __ __) __ __ __ - __ __ __ __  FAX:   (__ __ __) __ __ __ - __ __ __ __

Amount Enclosed $ ________    (Make check payable to Treasurer, State of Connecticut)