aspire

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Thank you for your interest in Aspire, a revolutionary insurance agency management system. If you have seen a demonstration and feel you are ready to take the next step and get a proposal for your agency, please complete the following agency profile as thoroughly as possible and submit. You will receive an automated confirmation of your request immediately and a member of our sales team will review the details and contact you if there are any questions.
GENERAL INFORMATION
Have you already seen an Aspire live demonstration?
Contact Name
Name of Company/Agency
Main Address
Street
City
State
Zip
  Mailing Address (if different from above)
Street
City
State
Zip
Telephone
Fax
Email
Website
  We cater to (check all that apply)  
Does your agency have broadband internet access?
What type of Agency Management Software are you currently using?
Will you require data migration from your current system?
Will your agency require carrier downloads?
Do you currently subscribe to a
Comparative Rater?
What do you like about your current system?
What do you dislike about your current system?
What have you seen or heard about Aspire that intrigued you?
How did you hear about Aspire?
Do you have a preferred sales agent?
BACKGROUND
Date business was established
Branch Offices
Same Ownership for all?
Are all branches in the same state or multiple states?
Average number of employees at each branch
Is this a franchise operation?
Preferred method of contact:
Does your agency specialize in any particular line of insurance?
PERSONNEL (total all locations, if applicable)
Type
#
Owners
Managers
Producers
CSRs
Administrative
Other
Total Employees
OPERATIONS
Book of Business Make Up
Percentage (%)
Automobile - Commercial
Automobile - Personal
Commercial Lines
Home
Life
Health
All Other Lines
Total All Lines
0%
YOUR TOP 5 CARRIERS AND THEIR USE
Carrier
Use
We appreciate your time in completing the application above. By clicking “Submit” below, your profile will be sent to our sales team for review and someone will be in touch with you soon.
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Eli S
I just wanted to thank you for all your technical...More