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Requirements: You must be, and/or your listing must be, for a Licensed Insurance Agent, Broker, Agency, Brokerage, or Company selling insurance products directly to the consumer. No lead generation sites - which refer inquiries out - are allowed. Only insurance "business to consumer" sites are permitted. Not a requirement, but you should have your own web site which we can link to. If you do not have a web site you may want to try GoDaddy, Domainacopia.com or other related sites where you can economically build your own site today.

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Please enter your agency information below. The Company name, address, telephone number and web address entered below is what will be displayed on the listings page. * Indicates a required field. Listing Information * Insurance Agency/Brokerage/Company Name: Insurance Agent's Name: About Paragraph: Maximum 500 characters. characters left. License # * Agent Email: Your email will not display in your listing; for internal use only. * Agency/Company Street Address: * City: State: Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming * Listing Zip Code: Company Phone Number: example: 5555551212 This is the Web Page you want your new Listing to link to: http:// example: www.YourSite.com Your Company Logo:   http:// example: www.YourSite.com/images/logo.gif By checking this box I AGREE: My ad will display monthly (for 30 days from when I begin) in the ZIP Code(s) I choose. Please charge my credit or debit card monthly, on or about the same time, unless I cancel my subscription, or it is terminated by the site administrator for any reason. I MAY CANCEL AT-WILL, ANY TIME, NO REASON NEEDED, and my listing will display until 30 days from my last valid payment. To cancel I just click "Unsubscribe" from this site and all future charges stop. If my payment does not process for any reason I understand my ad is de-listed and I may lose my spot. I bear the sole responsibility to provide this site with a valid means of payment and valid information. I/We shall hold harmless, defend and indemnify ensurance.com®, its officers, employees, contractors, affiliates, agents and third parties from any claims, demands, causes of action, debt, or liability which may arise from this affiliation. Billing address is the same as your listing address. Monthly Listing Fee:........$29.00

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