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ASPIRE AMS
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Name
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First
Last
Agency/Company Name
*
Have you already seen an Aspire demo?
*
Website/URL
We cater to (check all that apply)
Personal Lines
Commercial Lines
Life/Health
What type of agency management software are you currently using?
*
Will you require data migration from your current system?
*
Yes
No
Will your agency require carrier downloads?
*
Yes
No
Do you currently subscribe to comparative rater?
*
Yes
No
What do you like about your current system?
*
What do you dislike about your current system?
*
What you seen or heard about Aspire that intrigued you?
*
How did you hear about Aspire?
*
Multiple locations?
*
Yes
No
Preferred Contact Method
*
Email
Phone
Does your agency specialize in any particular line of insurance?
*
Yes
No
Address
*
Total Number of Employees
*
Email
*
Phone
*
How did you hear about us?
*
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Google
Bing
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Other Search Engine
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Marketing Email
Convention/Conference
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