1. Online Registration Process
September 25, 2014
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2. Access Online Registration Site
Click the Get Appointed button
©2012 SureBridge | Proprietary and Confidential.

3. ©2012 SureBridge | Proprietary and Confidential.
Start Process
Click the Next button
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4. ©2012 SureBridge | Proprietary and Confidential.
Producer Information
Enter producer’s NPN and SSN
Click the Next button
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5. ©2012 SureBridge | Proprietary and Confidential.
Contact Information
Complete the required fields (marked with an *)
Click the Next button
IMPORTANT NOTE:
The Legal First Name and Legal Last Name will pre-populate based on the NPN & SSN entered on the previous page.
©2012 SureBridge | Proprietary and Confidential.

6. ©2012 SureBridge | Proprietary and Confidential.
Background Questions
Answer the 4 questions listed
Click the Next button
IMPORTANT NOTE:
If the producer answers yes to any of the questions listed, they will be unable to continue with the registration process.
©2012 SureBridge | Proprietary and Confidential.

7. ©2012 SureBridge | Proprietary and Confidential.
Disclosures
Click the ‘I Authorize’ box for each form listed in this section.
Click the Next button at the bottom of the page
IMPORTANT NOTE:
The Producer’s name and demographic information is pre- populated and un-editable, as required by each form, based on the information entered on the Producer Information screen.
©2012 SureBridge | Proprietary and Confidential.

8. ©2012 SureBridge | Proprietary and Confidential.
Product Training
Click the Start button to access the training
A separate browser window will open and display the training
Review the training and close separate browser once complete
Click the Next button
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9. ©2012 SureBridge | Proprietary and Confidential.
License Information
This screen is informational. It displays current license information for the producer.
Click the Next button
IMPORTANT NOTE:
This information is pulled based on the SSN & NPN entered on the Producer Information screen.
©2012 SureBridge | Proprietary and Confidential.

10. ©2012 SureBridge | Proprietary and Confidential.
Request Appointments
Select the appropriate state under Available Supplemental Products and move to the Selected Supplemental Product States section
Click the Next button
©2012 SureBridge | Proprietary and Confidential.

11. ©2012 SureBridge | Proprietary and Confidential.
Receipt
This screen displays the following information:
Links to download PDF copies of all Disclosures
List of state appointments requested
Click Finish
NC $0.00
©2012 SureBridge | Proprietary and Confidential.

12. Registration Confirmation
This is the last page of the registration process.
©2012 SureBridge | Proprietary and Confidential.