CONTACT INFORMATION First name* Last name* Phone* Email* BUSINESS INFORMATION Business Name* Job Title Address 1* Address 2 City* State* Zip* Business Website URL* COMMISSION PLANS Upfront This plan is your one-stop-shop for your business leads. This plan will take a lead from its infancy to an active customer. We have status on leads provided, and audit carrier payments on all installed accounts. You get to leverage our Solutions Advisors and Operations Team’s professional skill and earn dollar-for-dollar what installed. Residual The Residual plan allows you to participate in a reoccurring commissions model and grow your book of business. Leverage ClearConnect’s resources to help win business and receive the advantage of an reoccurring payment plan. I accept terms and conditions of Partner Lead Generation Agreement Please wait for your request Congratulations! Your Agency registration request has been submitted successfully. You'll soon be receiving an email regarding the registration approval.