Partner Registration Welcome to your Partner Registration First Name Last Name Email Address Phone Number Address City State/Province Country Postal Code Company Name How many salespeople are in your company how old is your company in years What industry are you in Please select your answer Financial Advisor Benefits Consultant Healthcare Insurance Travel Management Fleet Management Trucking/Transportation Airline Staffing Business Consulting Medical Seniors Community Disaster Preparedness Government Member Services Non-Profit School/College Software Medical Equipment Health Solution Fitness/Wellness Other How many clients do you have Who do you sell to (Check all that apply) Consumers Businesses Government Agencies Non-Profits Schools/Colleges Member Organizations Who are you affiliated with Add teh company youare affiliatedwith such as New York Life, Virtuoso, Etc. or None if this does not apply What insurance do you sell if any None Global Underwriters AIG John Hancock CIGNA Global IMG Allianz GEO Blue Berkshire AXA Aenta International Other Where do you sell your products and services United States Canada North America United Kingdom Europe Central America South America Africa South Pacific India Asia Middle East Global Time's up
