Helper Network Membership form

GENERAL INFORMATION

This is a new and unique way to advertise. Having your name in front of a potential customer at the exact moment of his need, is the ultimate in cost effective advertising.

More and more people are using the internet for their insurance transactions, including reporting of claims.

Your name will be in front of him when he is completing a claim form or inquiring about coverages. In the future your name will also be listed on an insurance information website serving the general public. This site is currently under construction but will not be available until the latter part of 2006.

The cost of a listing is per county with discounts for multiple counties.

We do require you have a good working knowledge of dealing with insurance companies. You may be dealing with someone in an emotional state. The last thing we want is to add to their trama. If interested, please complete the form below and someone will contact you.

First name *
Last name *
Company name, if any
Contact name, If any
Address

City
State
Zip
Daytime telephone number
Website address (URL)
Email address *

COMMENTS

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