Registration

Registration

Here is how it works:

Step I
Fill out the form below and instantly create your account and then select the type of data you want to add to your website. Chose one or more;

Retail Data

Annuity Data for Consumer Websites
Term Life Quoting for Consumer Websites

MGA Data Feeds

Annuity Data for recuriting agents including forms
Hypothetical Fixed Indexed Annuity Illustration System
Universal SPIA Quoting: Please select if you are a MGA

Institutional Data Feeds

Annuity Data for Banks, Broker-Dealers including forms
Hypothetical Fixed Indexed Annuity Illustration System
Universal SPIA Quoting: Please check for Bank Broker-Dealer

Third Party Administrator

Universal SPIA Quoting: Please select for TPA

Fee Based Financial Planner

Universal SPIA Quoting: Please select for FP

Step II
Select Companies
Select the Companies and product you want displayed in your website.

Step III
Enter the email address you want your leads sent to.

Step IV
Select the states for your quoting engine.

That's it - we'll create the url's and then you cut and paste them into your website!

First Name

Last Name

Your Phone

Your Email

Agency Name

Choose the user name and password to access your agency's administration area. The user name will also determine the address of your agency's web site. For example the username "myname" will set your website up at http://www.termlifedata.com/UserName/.

User Name (URL)

Password

Comments:

Please enter the answer to this simple math question in the field below.
This is to prevent automated systems from using this registration form.

9 x 9 =