Request Leads | On Point. Leads

Lead Distribution & Inventory Acknowledgment

Please read and acknowledge each section before submitting. All checkboxes are required.

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I understand and agree that lead volume and timing are not guaranteed.

I understand and agree that lead distribution may fluctuate.

I understand and agree to the lead distribution methodology provisions.

I understand and agree that daily lead volume is not guaranteed.

I understand and agree to budget-based lead allocation.

I understand and agree to the comparative performance policy.

I understand and agree to the Program Flexibility provisions.

I understand and agree to the Lead Distribution & Inventory Acknowledgment provisions.

Additional Confirmations

I am currently licensed (or actively pursuing licensing) to sell insurance in the states requested.

I maintain Errors & Omissions Insurance if required by my carrier or organization.

I have an active A2P-approved CRM capable of contacting leads via phone and SMS.

I have reviewed all program disclosures, billing policies, cancellation policies, lead distribution policies, and payment authorizations.

I understand that submission of this Agreement creates a legally binding obligation to pay for leads and fees incurred pursuant to the selected lead budget and program terms.

Agent Information

Full Name *

Email Address *

Phone Number *

Insurance License Number

Business Information

Agency Name

NPN Number

Resident State

CRM Verification

We require an A2P-approved CRM to contact leads via phone and SMS.

GHL (SimplyWork Only) Subaccount Name

A2P Approved?

Lead Distribution

Lead Type *

Personal Only or Profit Sharing

Weekly Budget *

States Licensed In

These are the states we are currently targeting and generating leads in.

Select states...

Selecting more states improves lead volume and delivery speed.

Agent Onboarding Request

Lead Distribution & Inventory Acknowledgment

Agent Information

Business Information

CRM Verification

Lead Distribution

Additional Notes

Discount Code