You may contact us anytime via phone or email, or by filling out  this info sheet.  We will make every effort to respond to your questions within 24 hours.
Lee Financial & Insurance Agency, Inc.
An Independent Agent
(405) 843-6427
We are licensed to serve Oklahoma

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Information About Yourself
Full Name *
Date of Birth*
Marital Status*
Home Address *
Phone #*
Best Time To Call
Fax #
Email*
Information About Your Spouse
Full Name
Date of Birth
Following entries are optionals, the information you provide us will help us to understand more about you investment objective, the suitability   
of the investment and knowing what materials to prepare for you. Not all investments are alike nor suite every investor. And remember, don't    
put all eggs in one basket, get more diversify to reduce your risks. Information we provided to you hopefully be able help you to make better    
decision on your retirement planning. Information is free and you are no obligation to buy any products or services from us.
You
Your Spouse
When you want to retire?
How much you plan to have on the
time when you retire?
Initial amount of the money you plan to
invest on your retirement?
How you pay or fund you plan?
If the investment product is right and
suite your plan, how soon you need to
start to invest?
How much risks you willing to take?
What percentage of return you
expected from your investment yearly?
How long you can keep your money in
the investment?
What is your current tax bracket?
When withdrawing your investment,
how you would like to withdraw?
Do you have a life insurance?
What other investments that you
currently have?
Tell us more about your other investments.
Tell us more about your other investments.
Comments, Questions, Information Requested: