To set up an agency with WISConnectz, please complete the application form below and we will get back to you shortly.
Please include the contact details of the person who will be responsible for the day to day management of your agency, including creating additional users and receiving management information.
For all travel agents.
For all medical insurance agents.
For all insurance brokers and insurance consultants.
You can create a sub agency for a separate branch, location, office, division or team within your business.
Add a Sub Agency
By creating sub agencies, you will benefit from enhanced management information, allowing WISConnectz to report the performance of different locations, branches and teams.
I declare that all details submitted are correct, and that we agree to be bound by the terms and conditions detailed below. An Insurance Agency Agreement will be issued separately.