IBC Young Guns Nomination Form

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* 1. Please fill out the following information for the nominee:

Nominee name:

Age:

Company:

Job title:

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* 2. Describe why the nominee should be a Young Gun selection. Feel free to include any innovations they've made in the business, awards won, volunteer or charity work, etc. Anything that makes the nominee an exceptional insurance pro.

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* 3. Dollar volume for 2014 (optional; for young guns who are producers)

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* 4. Please let us know how to contact you if we have any further questions about this nomination.

Name:

Company:

Email:

Phone: