If you are a licensed life insurance agent in Canada and wish to become part of the Canadian Term Insurance team, please enter your personal information below.

Partners of Canadian Term Insurance work directly with potential clients who have already expressed interest in purchasing products offered by Canadian Term Insurance. Partners are provided with client particulars and contact information. Partners schedule meetings to complete applications and deliver products to clients.

Upon submitting your personal information, a member of the management team of Canadian Term Insurance will contact you.


First Name *

Last Name *

Email Address *

City *

Telephone *

Province *

Primary Provincial Licence *

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