Amount Paid : $290.00

Independent Agent Agreement

Enrollment Information
First Name
Middle Initial (Optional)
Last Name
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Address
APT / SUIT (Optional)
City
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Zip Code
Email
Verify Email
Cell Phone
DOB
SSN
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Membership

Information

Password
Conf. Password

Payment Information

Enter your card information:
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Card Number
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CVV

Billing Address
     

Language

Agent Information

Agent ID :  563500

Agent Name :  Mel Smith

Commission

By choosing this option, I authorize United Wealth Education to electronically deposit my commission in the specified account. I also understand that a $4.00 processing fee will be taken out of my weekly commission payment

By choosing this option, I understand that my commission and bonus checks will be on hold until such time that I can set up a Direct Deposit method*. At that time, I will set up payment through the Direct Deposit Form in my Agent Back Office portal.

*Agents can get direct deposit with a typical bank account or by using a online service like Cash App, Chime, Ally, or Axos.

*I understand that a $4.00 processing fee will be taken out of each weekly commission payment when I choose this option.

Direct Deposit Information
Bank Name
Acc. Holder Name

Account Type

Account #
Routing #

Terms & Conditions

I consent to the use of electronic records and have read, understand and agree to the United Wealth Education Services/YFL IR Agreement Policies and Procedures:

UCESPP Terms

 
  

UWE Terms

 
  

Disclosure

 
  

Agent Agreement

 
  

Agent Policies and Procedures

 
  

Agent Income Disclosure