Join Apex Affinity Group

Create your distributor account and start building your business

You've been invited by

Apex Vision

Are you registering as an individual or business? *

Personal

I'm registering as an individual distributor

Business

I'm registering as an agency or company

First Name *

Last Name *

Email *

Password *

Username *

Your referral link: reachtheapex.net/your-username

Use lowercase letters, numbers, and hyphens only (we'll auto-convert for you)

Company Name (Optional)

Phone Number *

Required for SMS notifications about meeting attendees

Mailing Address *

Street Address *

Apartment, Suite, etc. (Optional)

City *

State *

ZIP Code *

📍 Your mailing address is required for tax reporting (1099), ACH payouts, and compliance with regulations.

Tell us about yourself (Optional)

This helps personalize your AI Voice Agent. Share 1-2 sentences about your background or interests. (Max 500 characters)

Date of Birth *

You must be at least 18 years old to register

Social Security Number *

Why we collect your Social Security Number:

Federal law requires us to collect your SSN for tax reporting purposes (IRS Form 1099) and to comply with anti-money laundering regulations under the Bank Secrecy Act and USA PATRIOT Act. Your SSN is encrypted and stored securely and will only be used for required tax reporting and identity verification.

Are you a licensed insurance agent? *

Yes, I am licensed

I hold an active insurance license and will provide documentation. I'll have access to all features including license management, advanced commissions, and client tools.

No, I am not licensed

I will participate in referral and team-building activities. I'll have access to training materials, marketing tools, and team management features.

💡 This selection determines which features and tools will be available in your dashboard. You can change this later from your profile settings.

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