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Become an agent with us
1)
Click on "Dental Agent Contract".
2) Type in your information into the blue highlighted fields on all pages of the contract
3) Print the contract and sign in 4 places.
You may then email or fax your completed application to our office
Sign and fax your completed
contract, a copy of your state insurance license and your bank account information along with a voided check for payroll direct deposit.
Real Dental Insurance
sales@realdentalagents.com
Fax 813 200 9654
*Don't forget to attach a copy of your state insurance
license and bank account information along with a voided check.