In order to join, we need you to create an account!  Below you are asked to fill out these fields and create an account for yourself. 

Once your personal account is created, you will then be asked to create the account for the agency. 

If you have any questions or run into any problems, please contact Sheron Gagnon at sgagnon@massagent.com or 508-634-7378.

Create an Account

Personal Information

Email*
   
First Name*
   
Last Name*
   
Suffix
Phone*
   
Designation
Address 1*
   
Address 2
 
City*
   
State*
 
Zip Code*
   
Are you licensed?
Additional Information
Cell Phone Number
Position in Agency/Company
Please let us know what Publications you would like to receive






Login Credentials
User Name
Your email address has been assigned as your User Name
Password*
 
Confirm Password*
 

Passwords must contain at least seven characters with at least one numeric character and at least one alphabetic character.

* - Required Fields