Equis Customer Setup

Complete this form completely for setup! This does now allow you to set up your account. MailCo will set the account up and send an email from LeadOrders@MailCoProductions.com with your Username/Password and instructions. Personal Information
Full Name:		*
Agency Name:		*
Email:		*
Primary Phone:				Phone Type:
Secondary Phone:				Phone Type:

Address Information
Street Address:	*
City:	*
State:	*
Zip:	*

General Information
Are you direct to Equis or with a group?			*
			If group, what Equis group are you with?
			If direct, do you have Agents reporting to you?		YesNo

How did you hear about Mailco?			*

Comments:

The information provided will be forwarded to our lead fulfillment team at LeadOrders@MailCoProductions.com. Please watch your email for further instructions, which will include your Username and Password. Requests are typically processed within one business day.