Agent Registration
First Name
*
Last Name
*
Phone
*
Email
*
Username
*
Password
*
Confirm Password
*
Agency Name
*
Address1
*
Address2
City
*
State
*
Select State
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Africa
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States Of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Time Zone
*
Select Time Zone
CT Timezone -6:00
Eastern Timezone -5:00
MT Timezone -7:00
PT Timezone -8:00
How many people are there in your sales team?
*
1-5
6-10
11-15
16-20
20+
Transfer Line Phone
*
Spanish Transfers?
Agency Hours
Monday - Thursday
Friday
Saturday
Sunday
Lunch Hour
Do you want to connect your own CRM with Quoting Fast?
Blitz API
API ID
Transaction ID
Lead Manager
API URL
Agency MVP
API Organization ID
Rico CMS Key
Lightspeed Detail
Domain
API Token
DYL Detail
Source ID
Access Code
Are you an Allstate Insurance Agent?
Yes
No
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