SurveyMonkey Powered Online Survey

Insurance Business America is on the hunt for the best insurance agencies and brokerages. Is your company among the best?

Please take a few minutes to fill in this short survey to nominate your company for IBA’s 5-Star Brokerage Award. If your nomination is accepted, you will receive a subsequent survey to share with your clients. Results of that survey will determine the winners’ list.

Winners of IBA’s 5-Star Brokerage will be celebrated in our October edition of the magazine and released on our website which enjoys over 250,000 visitors monthly.

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* 1. Company information

Company Name *

Headquarters

City/Town

State/Province

Regional Office (Optional)

Website *

Phone Number *

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* 2. State(s) served

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* 3. Size of company by employee size:

1-10 employees

11-50 employees

51- 100 employees

101 - 500 employees

500+ employees

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* 4. Annual Revenue

Less than $10M

$11-$50M

$51-$100M

$100M-$500M

$500M+

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* 5. Expertise (if applicable)

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* 6. Why does your company deserve to be awarded 5-Star distinction?

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* 7. Nominee Contact details:

Name

Title

Email Address

Phone Number

After initial review of this submission, Insurance Business America will be reaching out to you with a client survey. You can expect to hear from us in the next 2 weeks.

For any questions, please contact Meghan Bille at meghan.bille@keymedia.com