Registration Form

Note: You must be an iN DEMAND affiliate or vendor to access this site.
If you are an iN DEMAND customer, please visit our consumer site at, where you will find a wealth of consumer information and more about iN DEMAND.

Fill in the form below to register for access to iN DEMAND's affiliate web site. You will be e-mailed your individual password by the end of the next business day. If you do not receive your password by then, please call your iN DEMAND Affiliate Representative.

If for any reason you are not granted access, you will be notified via e-mail.

Please fill in the fields below about the provider your agency/group is currently working with