Independent broker / representative application

Build a new revenue stream with Armour.

Apply to market Armour's current New York non-insurance discount memberships. Approval, training, a signed agreement, and account activation are required before conducting any Armour activity.

Tell us about your sales business.

We ask only for information needed to evaluate experience, capacity, conflicts, and sales-practice risk. Do not enter Social Security numbers, tax IDs, bank information, or passwords.

Applicant type

First name

Last name

Legal business or agency name

DBA

Business mailing address

City

State

ZIP

Telephone

Website

Current role

Years of sales experience

Current total annual sales volumeApproximate gross annual sales produced or managed.

Number of agents / independent sellers

Number of employees

Markets and customer types served

Third-party product, employer, or enrollment experience

Insurance license status, if any

License details, if relevant

Material regulatory, disciplinary, complaint, chargeback, or sales-practice history

Current contractual restrictions or conflicts

How did you hear about Armour?

Additional relevant information

I certify that this application is accurate. I understand that applying does not authorize me to represent Armour or promise approval, leads, sales, commissions, income, employment, or profitability.