New Agent Registration

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Become a Lantern Agent 75%

Welcome!

We’re so excited that you’ve decided to join the Lantern Team. Please take a few moments to fill out the form below. The information entered here will allow us to begin processing your information to join our office. Your info will also be sent to our web developer for inclusion on our website. Please respond to all fields and reach out if you have any questions about the form.

– The Lantern Team

New Agent Information Sheet

Please complete the form in it’s entirety.

    • Month and Day
  • For anything else you'd like to share with the team.
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