Agency Landing Page Form - Mutual Benefit Group

Agency Contact Information

Agency Name (As it appears on your agency license.)*

Web Site

E-mail*

Is your agency's information correct in our agent locator?

If you're not sure, please go to https://www.mutualbenefitgroup.com/agent-locator/ to verify your information. If it is correct, click the "yes" button below. If not, please click the "no" button, and provide the correct information by completing the fields below.

Yes. Our information is correct.
No. Please use the new information below.

Fax (###)###-####

Phone (###)###-####

Hours of Operation

Please enter your office's hours of operation as you would like them to appear.

Agency Landing Page Information

Primary geographic service area (i.e. county(ies), areas, or regions served)

Please enter the address for each location:

What type(s) of insurance do you provide?

Other:

Do you specialize in any niche insurance? (i.e: trucking, certain types of businesses)

Agency Landing Page Details

What type of image do you want on your agency landing page?

Upload Image File

Accepted file types: jpg, jpeg, gif, png, Max. file size: 200 MB.

Would you like the Mutual Benefit Group Communications Department to write your profile paragraph?

Yes. Please write it based on our agency Web site.
No. Please use the text I have provided below.

Please provide a description of your agency. (300-700 characters)

We recommend 700 characters. Be sure to include the insurance products you focus on. And, so you get the best search results, please do not duplicate the content on your Web site for your agency description.

Please enter the e-mail address of the person in your agency who can provide final sign-off.*

Agency Landing Page Worksheet:

Agency Contact Information

Agency Landing Page Information

Agency Landing Page Details

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