Registration: CE Powered By United Insurance Educators, Inc.

Complete these easy steps to get registered:

1) Review our system requirements (at right) to make sure you can print certificates.

2) Complete this quick registration form. Required information is in bold.

3) You will not be able to login until your registration is approved.

First Name:
Middle Name:
Last Name:
Agency:
Address:
Address Line 2:
City:
Province:
Postal Code:
Is Address a Home or Business?:	Home Business
Daytime Phone (numbers only, include area code!):
Fax (numbers only, include area code!):
Email:
Username (You will login with this):
Password:
Insurance License Number:
Reenter Your Insurance License Number:
Date of Birth (MM/DD/YYYY):
Your General Agent:

System Requirements

• Internet Explorer 6 or later

• Safari 3 or later

• Adobe Reader 7.0 or later installed and setup to use Adobe PDF Browser plug-in.

If you don't have Adobe Reader, click the "Get Adobe Reader" image below to download and install it.

If you have problems and you meet the system requirements, please click here to view Adobe's troubleshooting page.