AUGIE Group 2020 Initiative registration form
1.
Thank you for being a member of AUGIE Group.  Please let us know which of the AUGIE Group Initiatives that you would like to monitor or participate on in 2020. There is no membership fee.  When you complete this form, we will add or verify that you are on the applicable initiatives distribution group. Please fill out this short form.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
State/Province
(US/Canada):
A=Agnt C=Carrier M=MGA/other prtn O=Other V=Vendor:
Website:

2.

Please indicate below, or validate which 2020 initiative's distribution group(s) you are interested in . By checking the category, you will be added to the distribution group. If you would like to be removed from an initiative, please add a comment in the box below.

AUGIE Group - this is the primary distribution list
Claims Download
Agribusiness
Platinum Download
Commercial Lines Inland Marine
MGA Integration
ID Federation
eDocs and Messages
Cyber
AUGIE Ambassadors
Digital Ecosystem
Other  
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