Best Doctors Insurance invites you to our convention in honor of our most accomplished agents. This event will bring together peak performers to meet with our executive team and celebrate their accomplishments.

Agent Information

Fields marked with an asterisk (*) are mandatory.

First Name*

Last Name*

Email Address*

Date of Birth*

Master Agency*

Sex*

Country of Residence*

Dietary Restriction*

Are you celebrating a special occasion during the Convention?*

Shirt/Blouse Size*

What is the date of your special occasion*

Is your qualification "double"?*

Please provide a copy of your travel itinerary to help us coordinate your transportation to and from the airport during Convention.

The following questions are for those who qualified as "Double".

Companion's First Name

Companion's Last Name

Companion's Country of Residence

Companion's Sex

Companion's Dietary Restrictions*

Companion's Shirt/Blouse Size

Preferences during Convention

The following options are on a first come, first served basis.

Hotel Room Preference*

Is there a specific topic you would like discussed during this year's agent forum?

Terms and Conditions Please, do not forget to provide the "Liability Waiver and Informed Consent" document signed in JPG format, which you can find at the bottom of this page.* Please take in consideration that if your qualification is “Double” we must receive the Waiver document for your companion as well.

To download the document, click on the button below

LIABILITY WAIVER AND INFORMED CONSENT