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Questionnaire

What type of captive
are you considering?
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What type of captive are you considering?
Single-owner Captive
Group Captive
Association Captive
Risk Retention Group (RRG)
Reciprocal
Sponsored Captive
Branch Captive
Not sure
What insurance lines are you considering putting into the captive?
Have you done a feasibility study?
Yes
No
In Process
Who are you working with?
Are you currently working with a captive manager?
Yes
No
If yes, then who?
What is your timeframe?
What is the key reason you are considering a captive insurance company?
How did you hear about www.VermontCaptive.com?
Search engine
Referred by
Advertising in
Conference attendee
Newsletter
Other:
Name*
Title
Company*
Address*
Phone number*
Email Address*