Agent Application

As a first step to becoming part if the Bekins family of agents, we request that you complete and fax back a simple questionnaire.

This confidential questionnaire includes information regarding Bekins diversified business opportunities, factual information about our new agent owned company, and will allow us to assess the possibilities of having you become part of the Bekins network. In addition, please include your prior year-end financials.

Agent Questionnaire (PDF)