IBA Top Producers 2017

Calling all Top Producers!

Did you have a personal book of business (net commissions) worth $750,000 or more in 2016?

If so, then we want to list you in the special Insurance Business America Top Producers 2017 issue. We are looking for producers who are at the top of their game with commercial P&C business.

To be included in our third annual listing, please provide a few details in the form below.

All information will be treated as confidential, and will not be published or shared with third parties.

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* 1. Your Details:

Name:

Job title:

Company:

Phone:

Email:

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* 2. How many years have you been in the industry?

Less than 3 years

3-5 years

5-10 years

10-25 years

25+ years

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* 3. Your total number of clients in 2016:

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* 4. Your total number of policies written in 2016:

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* 5. Your total book of business (net commissions):

2016:

2015:

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* 6. Approximate percentage of revenue that is commercial:

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* 7. Nominator information (optional): if different from above

Name:

Job Title:

Company:

Phone:

Email: