New Prospect Inquiry

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Agency Name

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First Name

Last Name

Email

Cell Phone

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Preferred Method of Communication

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Year Agency Was Established

Agency Staff Size

Does your agency have E&O? If so, who is your current E&O carrier?

I'd like to learn more about the following IIAT products and services: Resources to help me start an agencyResources to help me run an agencyE&O coveragePersonal Lines marketsCommercial Lines marketsFarm & Ranch marketsLife & Health marketsEducation (CE) & trainingIIAT's advocacy efforts

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Who is the IIAT staff member you've been in contact with?

How did you hear about us? Colleague/Word-of-MouthOnline searchSocial MediaTrade Show or Insurance EventCarrier Other

If "other," please explain:

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“I was a captive agent for 10 years and I always had the insurance company as my backstop. Now that I’m independent, IIAT is my go-to partner when I need assistance.“ Douglas B. Johnson, Douglas B. Johnson Insurance Agency