Fill this out and your ICON Affiliate Agreement hits your inbox in seconds. Takes about a minute — then you're on your way to writing business.
Your name, contact info, mailing address, and your carrier appointments — everything the back office needs to place you, all at once.
The moment you submit, we email you the ICON Affiliate Agreement. Sign it, and your SureLC contracting link and ICON Elite checkout arrive right after.
Follow the steps while it's fresh. Our back office already has your details — nothing to chase, no back-and-forth.
Complete every field so we can place you correctly the first time.