“Essential Plan” has been added to your cart. View cart

1 Setup

2 Personal

3 Background

4 Forms

5 Payment

6 Done

Check your email address

Enter your email to continue with the purchase process

Email *

Setup

Referral

Referral Code

Identification Information

First Name *

Last Name *

Birth Date *

Primary Contact Information

Phone *

Marital Information

Marital Status *

Home Address

Address 1 *

Address 2

City *

State *

Zip Code *

Mailing Address

Use my home address as my mailing address

Address 1 *

Address 2

City *

State *

Zip Code *

Background

Professional Information

Do you have an existing life or health license? *

More information

Have you in the last 10 years, initiated a bankruptcy petition or experienced bankruptcy proceedings? *

In the previous 10 years, have you been found guilty of, pled guilty to, or entered a no-contest plea for any felony or offense? *

I accept that as a dedicated member, I will only market or sell products marketed by Jwanaix.*

Declarations

If you answered yes to any question above, please provide more information.

Please complete both documents below to continue your registration.

1. Click “Open DocuSign” to open each form in a new tab and finish executing with DocuSign.

2. Once you’ve completed a document, return here and click “Refresh Status” to update its progress. Both documents must show as Completed before you can continue.

Jwanaix Group- Independent Agent Contract

Status: pending

W-4

Status: pending

Your order

Product	Subtotal
Essential Plan × 1 Change Plan	$49.99 / month
Subtotal	$49.99
Total	$49.99
Recurring totals	$49.99 / month (ex. tax)

Credit / Debit Card
- Use a new payment method
Save payment information to my account for future purchases.
Klarna
- Use a new payment method

Update TotalsUpdate totals

I have read and agree with the terms of service and refund policy. *

Checkout