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Sales/Support: 1-800-45-MATRIX STEP 1: Profile STEP 2: Billing STEP 3: Create Account Agency Information *Required Agency Name: * Address: * City, State, Zip: * Phone: * Fax: Agent Information Agent/Owner Name: * Cell Phone: Email Address: * Referrals and Promotions Sales Rep: House Account Daniel Ochoa Derek Brown Nikki Toussaint Travis Ochoa Christine Mason Misty Hoskins Mark Zoller Jared Wilcox Amanda Whitehead Erik Finstad Naveed Makhani Scott Angell Promo Code: Management System Options Agency Matrix Version: * ENTERPRISE ($419 monthly / $599 setup fee) DIAMOND ($289 monthly / $599 setup fee) PLATINUM ($179 monthly / $499 setup fee) GOLD ($129 monthly / $399 setup fee) LITE ($69 monthly / $199 setup fee) ACORD Forms: No Yes    Additional Monthly Fee is Applicable -- Conversion from exisiting database: No Yes $399 average conversion fee What system are you currently using?: - Please Select One - Agency Matrix to Agency Matrix ABS Agency Builder Accu Agency Agency Advantage Agency Pro AIM AMS 360 Ams Prime Windows ARS Doris eAgent Eclipse Evo EzAgent EzApps EzLynx Forms Boss Gbs Hawksoft Instar Insurance Pro Online Jenesis Now Certs Policy Profiler QQ Catalyst QQ Evolution Quick File Quomation Record Guardian Tam Zanatek (IMS 4) Other *Please note: additional fees may apply Total Offices: Multi-office discount will be applied. Call for details. HOME | CONTACT | PRIVACY | End User Agreement Agency Matrix, LLC ©2019. 2425 Commerce Ave, Suite 300, Duluth, GA 30096 contactus@agencymatrix.com Phone: 1-800-456-2874...