Agent Signup

Agents, please fill out the form below, and once submitted, we will be in touch with the additional information needed to setup your account with The Agents List.

Thank you for your interest.

Agent Signup Form

First Name

Last Name

Email Address

Phone Number

NPN (National Producer Number)

Company

	Select All That Apply
Life Insurance
Health Insurance
Porperty & Casualty (Home-Auto)
Financial Services
Other Lines

Agent Agreement

By checking this box, I agree to the Agent Terms & Conditions, Terms of Service, and Privacy Policy of The Agents List, LLC. I understand that participation is subscription-based, fees are non-refundable, and no guarantees are made regarding leads, revenue, or business outcomes. I acknowledge that I am solely responsible for my services, compliance, and interactions with consumers.

Review Agents Term of Service >

Basic Tier

Premium Tier

Elite Tier