AUGIE Group Sponsorship registration form
RequiredRequired Question(s)
Required 1.
Thank you for your interest in AUGIE Group. Sponsorship's help us to cover our costs and broaden the resources that support our initiatives. Thus we are able to continue without asking the industry members to pay a fee to join AUGIE Group.

When you complete this form, you are acknowledging that you want to become an AUGIE Group sponsor. 

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Country:
A=Agnt C=Carrier M=MGA/other prtn O=Other V=Vendor:
Website:

2.

Please review the Sponsorship levels below.  In addition, there may be specific services available to sponsor. If you are interested in sponsoring an available specific service, versus the levels below, please enter which service in the comments box and email cdurland@IVANSinsurance.com.


*Committee Level ($500/year): supports the continuation of one AUGIE Group initiative
*Ambassador Level ($1,000/year): supports the AUGIE Group Ambassador program
*Tactical Level ($2,500/year): supports the continuation of all AUGIE Group initiatives
*Supporter ($5,000): this is our highest sponsorship level and supports AUGIE Group's activities

Please select the level that you would like to sponsor.  All sponsorship's are for one year and are effective 1/1/2020.


Committee Level ($500/year): supports the continuation of one AUGIE Group initiative
Ambassador Level ($1,000/year): supports the AUGIE Group Ambassador program
Tactical Level ($2,500/year): supports the continuation of all AUGIE Group initiatives
Supporter ($5,000): this is our highest sponsorship level and supports AUGIE Group's activities
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3.

If you have checked the Committee Level Sponsorship above, please let us know which initiative you would like to sponsor. 

Claims Download
Agribusiness
Platinum Download
Commercial Lines Inland Marine
MGA Integration
ID Federation
eDocs and Messages
Cyber
AUGIE Ambassadors
Digital Ecosystem
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