New Agency QuestionnairePlease enable JavaScript in your browser to complete this form.Agency Name *Agency WebsiteName *FirstLastPhone *Email *How many locations do you have? *What time does your office open? *How many employees are in your office ? *Employees accessing IMS at any one time? *Preferred method of contact ? *EmailPhoneMailIs the office using Microsoft Outlook 2007 or later?YesNoIs the office using Microsoft Word 2007 or later?YesNoPlease list any expectations for training (What do you expect to learn?) *Employee List *Carriers Used By Agency *Special Agency InformationSubmit
