Broker Signup

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{{($index+1)}} {{Broker.isMobileDevice ? (Broker.IsBrokerExistInTU ? 'Activation' : item.MobileTab) : (Broker.IsBrokerExistInTU ? 'Account Activation' : item.Tab)}}

Email Address

A user with this email already exists. Please use a different email. Email is required. Email Address is incorrect.

First Name

First Name is required.

Last Name

Last Name is required.

Enter Last 4 digits of SSN

SSN is required. SSN Mismatch. Make sure you enter the last 4 digits.

Phone

Phone is required. Invalid Phone Number.

Date of Birth

Date of Birth is required.

Invalid date.

Age should be in 18 to 85.

SSN

Invalid SSN.

Enter password

Password is required.

Re-enter Password

Confirm Password is required. Passwords do not match. Passwords must be at least 8 characters in length and contain at least one lowercase letter, one uppercase letter, one numeric digit.

Security Question

Security Question is required.

Security Answer

Security Answer is required.

Click in the checkbox above

Agency Name

Agency Name is required.

Agency Tax ID

Invalid Agency Tax ID.

Pivot Partner Code (if any)

Incorrect channel code

Address 1

Address 2

City

State

State is required.

Zip

Zip code is incorrect. [5 or 9 Digit Zip Code]

{{Broker.GetAgreement()}}

I have read and accept the Broker Agreement

Please accept the Terms & Conditions

Click in the checkbox above

Your password should contain

1 UPPER CASE
1 lower case
1 Number
8 Characters Minimum

MyPivot

MyPivot

Carriers

Carriers

Tools

Tools

Learning Center

Learning Center

Pivotal Moments

Pivotal Moments

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