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Become an EZpass Agent

It's easy to become a professional insurance EZpass Agent & Broker and enjoy the benefits of our program.

1) Download and Save in your computer the PDF file containing the registration form and debit authorization form.
2) Fill out the first page (Registration information) typewritten.
3) Print both pages.
4) Fill out the second page (Debit authorization form) handwritten.
5) Please attach a copy of a voided check.
6) Send it to the following address:

EZpass Mexico Insurance [Reynaldo Garza]
1209 San Dario Ave. PMB7-664
Laredo, Texas

We will contact you as soon as possible.



2002- © EZpass, Inc. All rights reserved.
An insurance plan designed by RG Asesores underwritten by Chartis Seguros México, S.A. de C.V. and Quálitas Compañía de Seguros, S.A.B. de C.V.
toll free: 1-877-300-9316