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NVL+ Signup Form
Step
1
of
2
50%
Agency information (to be printed on estimates)
Agency Name
*
Agent Code
*
City/State
*
City, 2 Letter State
Phone to appear on estimates
*
After Hours Phone
*
For customer & NVL to contact you (i.e. cell phone)
Agent Logo
Please upload your company logo
Drop files here or
Select files
Accepted file types: jpg, png, Max. file size: 50 MB.
Do your quotes need to be accessible by others?
*
Do your quotes need to be accessible by others in the agency (owner/move coordinator/office personnel) or do you need to see quotes created by the salespeople?
Yes
No
Staff Member Information
Name
*
First
Last
Title
*
Sales Rep Number Assigned by NVL
(i.e. 10, 11, 12) (if applicable)
Mobile Phone
*
A mobile phone number is required to receive text message updates.
Mobile Carrier
*
Choose:
AT&T
Boost Mobile
Metro by T-Mobile
Mint Mobile
T-Mobile
Verizon
Visible
Xfinity Mobile
Other
Business Email (will appear on estimates)
*
Unique Email for Login
*
This email will only be used to create NVL+ login & can be the same as the business email as long as it will not be used by someone else as their NVL+ Login. Each NVL+ Login MUST be unique.
Do You Send Quotes to Customers?
*
Yes, if yes, a headshot will be required
No
Headshot Photo
Accepted file types: jpg, gif, png, Max. file size: 50 MB.
