Agent Client Registration "*" indicates required fields Agent Name* First Last Agent Email* Agent Phone*Broker* In order for your registration to be recognized, you must provide your client’s full contact information, including their email and phone number, at the time of registration.Client Name* First Last Client Email* Client Phone*Client InterestWhich NEXTGEN representative are you working with?*NoneRandy LewisMarissa BlakeJim KellyJoe PangRegion*Phoenix North ValleyPrescott
