So we can communicate with you, support you, track your earnings, and get payment to you, please accurately complete the enrollment information.

YOUR SSN OR EIN (if you are registering as a company) WILL BE VERIFIED USING THE IRS DATA BASE AND MUST MATCH THE NAME YOU PROVIDE (please use your full name as shown on your SS Card).

IF THE SSN OR EIN DOES NOT MATCH THE NAME PROVIDED AS VERIFIED BY THE IRS, WE CANNOT PAY YOU. Earnings will be held until verifiable and correct information is provided.

YOU CAN ONLY ENROLL ONE TIME - ANY ADDITIONAL ENROLLMENTS WILL BE TERMINATED. Your original sponsor will remain your sponsor.

Once enrolled, an email will be sent to the email address that you enter below and will have your password, Independent Agent ID, and instructions on what to do to begin enrolling other Independent Agents and Customers. If you don't receive the Enrollment Email, please contact agentsupport@truconnectdirect.com.

All fields with * are required.

Personal Info

First Name *

Middle Name

Last Name *

Business Account

Business Name *

Social Security Number*

Federal EIN *

Confirm Social Security Number *

Confirm Federal EIN *

Date of Birth *

Contact Info

E-mail *

Confirm E-mail *

Phone *

Format: XXX-XXX-XXXX or (XXX)XXX-XXXX or XXX XXX XXXX or XXXXXXXXXX

Web Alias *

Your alias is what you would like to use to reference your own website. This is the place that agents you sponsor will go to enroll. As an example, if your alias is "carlos", your personal website address will be www.carlos.truconnectdirect.com. So, one suggestion is to choose an alias that is easy to remember.

Mailing Address

Address *

City *

County

State *

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip *

By checking this box, you are agreeing to accept TruConnect Direct's Terms of Use, Privacy Policy, Earning Plan, Policies and Procedures, Product and Service Specific Procedures and Code of Conduct. You are confirming that you have read and understand these documents and accept all responsibilities and obligations as detailed therein.

*

I hereby represent and warrant that I have not been convicted of a felony or misdemeanor in the past seven (7) years.

*

I understand and agree that the cost of the background check will be withheld from my first two payments of my compensation. In addition, I understand and agree that I can access the Back Office support system free of charge until I reach a monthly residual of $200 at which time $20 per month will be deducted from my monthly residual.

*

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