Get Young Agents Boot Camp Young Agents Boot Camp

This guide provides step-by-step instructions for completing the Young Agents Boot Camp registration form online. Whether you are a seasoned professional or new to the event, this comprehensive guide will help you navigate the process with ease.

Follow the steps to complete your registration successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Indicate if this is your first time attending the Sales & Leadership Boot Camp by selecting 'Yes' or 'No'.
3. Fill in your full name in the designated area.
4. Provide your preferred name for the badge.
5. Enter any designations you hold.
6. Insert your Agents National Producer Number (NPN) and License Number in the appropriate fields.
7. Specify the name of your agency, ensuring it is an independent insurance agency.
8. Complete your mailing address, including PO Box or street, city, state, and zip code.
9. Enter your date of birth to confirm eligibility (must be under the age of 41).
10. Provide your email address for communication regarding the event.
11. Fill in your business phone and fax numbers.
12. Indicate whether you will be attending Friday's lunch and panel discussion by selecting 'Yes' or 'No'.
13. Review the registration fee and note that it is free for IIANC member young agents, while non-member agents are required to pay.
14. Select your payment method, choosing between 'IIANC Young Agent Member – FREE', 'Check Enclosed' or 'Credit Card'.
15. If using a credit card, provide the card number, expiration date, security code, and name on the card.
16. Complete the billing address section if using a credit card.
17. If paying by check, note the mailing address for registration and payment.
18. Review the cancellation policy to understand your options should you need to cancel.
19. If applicable, advise of any disability for accommodation as per the ADA policy.
20. Upon completion, save changes, download, print, or share the form as necessary.

Complete your registration online now to secure your spot at the Young Agents Boot Camp.