Let’s see whether your agency fits the Apex appointment program.

Use the information where you want Apex Digital Media to contact you about this application.

First name

Last name

Business email

Phone

Is your organization currently licensed and actively writing annuity business?

Which state would you want Apex Digital Media to evaluate first?

Is your organization currently licensed and able to accept annuity business in that state?

How involved are you in approving customer-acquisition investments?

Approximately how much annuity premium did your organization place during the last 12 months?

Are your producers willing to conduct Apex-delivered appointments through the assigned Apex-controlled video meeting link so attendance can be verified objectively?

Will your team submit a standardized outcome update after each appointment?

Updates may include Charter fit, follow-up, application status, funded outcome, or lost reason.

I agree that Apex Digital Media may contact me at the business email address and phone number provided about my application and related services.

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