InsurTech Hub - Customer Upload Form
Just enter your information as the agent and your customer info to receive credit for any P&C sales to your customers. Then refer your customers to www.brigadeinsurance.com for all their P&C needs. It's really that simple.
Agent Email
*
example@example.com
Customer Name
*
First Name
Last Name
Customer Email
*
example@example.com
Customer Phone Number
*
Please enter a valid phone number.
Please verify that you are human
*
Submit
Should be Empty: