Thank you for your interest in becoming an agent with Millville Mutual Insurance
Company. Please complete and submit this form and we will contact you. We are a
P&C Company licensed to write business in the state of Pennsylvania. Millville Mutual
is also the parent company of Millville Insurance of New York, a P&C Company licensed
to write business in the state of New York. Only agencies with valid Pennsylvania
or New York Insurance licenses should submit contact information.