REGISTER YOUR FREE LISTING:

If you are a wholesaler or carrier offering coverages through retail insurance agencies/brokerages, complete this form to secure your free listing in the Directory of Insurance Markets. Your listing(s) will appear under the industry heading(s), states and type(s) of coverage you select. A detailed list of categories is currently under development, and you will be notified when it is available.
Company type
(Please check all that apply.)
Coverage type(s)
(Please check all that apply.)
Coverage(s)
(Please check all that apply.)

Company information

Company
Address 
City/State/Zip
Phone 
FAX
Website

Description of company and Products:
(300 characters, or approximately 40 words, max.)

Your contact information

Name

Salutation    First              Mi          Last          Suffix
Title
E-Mail
Phone Ext

Your Priority Code:
(From your invitation letter)

Please indicate your interest(s)

Free listing(s) in insurance Markets section of portal.
A list of categories is currently under development. Your listing(s) will appear under the category headings you select by industry, state and type of coverage. A list of categories will be sent to you as soon as it is released.
Banner and display advertising opportunities on portal website.
I am interested in a website or on-line systems development services for my company.

 

Please send information on premium listing options when it becomes available.
For a nominal monthly charge, you will be able to include such options as more detailed information on your product offerings, unlimited personnel listings, premium position, company logo and other benefits.
In order to help us in our planning, please indicate by number up to four options that are most important to you. [ 1=most important, 2=next most important, etc.]
Detailed product descriptions Unlimited personnel listings
Premium position
Bold/highlighted listing Customized coverage categories
We value your input as we plan INSURANCEWebPortal.com. Please let us know how we can make this website more valuable to you and the retail agencies you serve.