{!! __("Accepting Your Greatness is More Than a Saying, It's Your Legacy!") !!}

Congratulations on taking the next steps in building a successful Insurance and Financial Services Agency. We are here to support you in your success along the way.

@include('flash::message')

{!! Form::open(['id' => 'form','class' => 'ayg_enroll_agent_form', 'novalidate' => 'novalidate' ,'method' => 'post']) !!} {!! Form::text('referral_code' , null ,['class' => 'form-control', 'placeholder'=> __('Referring Agent ID Number'),'required' => true]) !!}

I do not have a Referring Agent

{!! Form::close() !!}