Advisor Website Request Please complete this form to request a basic advisor website. Website is provided at no cost, but is only available to advisors who have written business with Tarkenton Financial. Please call Jay Moore, marketing director, if you have questions. Name* First Last Practice/Company Name*Please provide the name of your practice that you would like included on your site. Mission Statement/Motto/TaglineDoes your practice have a mission, motto, or tagline? If so, please enter it here.Website Domain*Please list the domain you would like to publish your website to. It is your responsibility to purchase the domain yourself. We recommend using www.GoDaddy.com to procure your domain. Office Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please provide your office address or whatever address you would like displayed on your site. Office Phone*Please provide your primary phone number for clients and prospects to contact you.Cell PhonePlease provide if you would like this number displayed on your site.Business FaxPlease provide if you would have a fax number you would like displayed on your site.Email* Please provide your primary email address for clients and prospects to contact you. Social Media Links Please include direct hyperlinks to any social media profiles you want linked on your website.Video or Media Links If there are videos or media links (i.e. articles, features, interviews, etc.) of you to include on your site, please list direct links to those resources here.I would like to include my logo on my website. (Email logo file to ssebastian@tarkenton.com) Yes No Please email your logo file (.PDF, .jpg, .png, .eps, etc) separately to Savana Sebastian, marketing associate, at ssebastian@tarkenton.com.I would like to include my headshot on the website. (Email photo to ssebastian@tarkenton.com) Yes No Please email your photo separately to Savana Sebastian, marketing associate, at ssebastian@tarkenton.com.Would you like a photo of yourself and Fran Tarkenton displayed on the site? Yes No If you have a photo with Fran, we can include on the site if you would like us to. Please provide your professional bio and a synopsis of your practice.*Include years of experience, professional qualifications and designations, licenses held, philosophy of working with clients, primary areas of focus in your practice, and a little bit of personal info, etc.Products/services offered (select all that apply):* Annuities Life Insurance Investments Asset Management Premium Financing/Business Owner Strategies Long Term Care Insurance Social Security Optimization Medicare Supplements/Health Insurance Please include any required broker-dealer or RIA disclosures you have:Additional Comments or RequestsEmailThis field is for validation purposes and should be left unchanged.
