The best way to understand Evolution™ is to see it for yourself.

Please fill out this form. We will send any qualified insurance agency a customized evaluation copy of our Evolution™ comparison rater.

This is a full featured evaluation copy.

 Agency Name (required) 

  Preferred Email Address(required) 

 Street Address 

  City (required)    State   Zipcode 

  Phone (required)   Fax

    Role In Agency: Agency Principal / Owner Personal Lines Manager Accounting Other  Decision Maker (required)

  Our contact in the Agency  Agent CSR Personal Lines Manager Other  Role In Agency  

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Select the Auto Companies you represent.  To select multiple companies, hold down the Ctrl key as you click.

AAA** Allied PC MI Allied PC IN American Fellowship MI Arrowhead MI Auto-Owners MI Auto-Owners IN Central MI Central IN CHUBB MI Cincinnati MI Citizens MI Dairyland MI Encompass (CNA) MI Fireman's Fund MI Foremost MI Frankenmuth MI Fremont MI Grange MI Great Lakes MI Hastings Mutual MI Hastings Mutual IN Lake States / Harleysville MI Michigan Automobile Placement Facility (MAIPF) Michigan Insurance Company MI Michigan Millers MI Northern Mutual MI Ohio Casualty / West American MI Pioneer MI Progressive MI Progressive IN Safeco MI Safeco IN Secura MI State Auto MI Titan MI option>Travelers MI Victoria General MI Westfield MI Wolverine Mutual MI Wolverine Mutual IN

* requires prior company approval ** only available after purchase

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Select the Home Companies you represent.  To select multiple companies, hold down the Ctrl key as you click.

AAA MI** Allied PC MI Allied PC IN American Fellowship MI Auto-Owners MI Auto-Owners IN Badger Mutual MI Central MI Central IN Chubb MI Cincinnati MI Citizens MI Encompass (CNA) MI Farmers / CIVIC P&C* MI Farmers and Merchants* MI Farmers Mutual MI Fireman's Fund MI First American MI Frankenmuth MI Fremont MI Grange Great Lakes MI Hastings Mutual MI Hastings Mutual IN Lake States/Harleysville MI Lake States/Harleysville IN Michigan Basic Property (MBPIA) MI Michigan Insurance Company MI Michigan Millers MI Northern Mutual MI Ohio Casualty/West American/American Fire MI Pioneer State Mutual MI Safeco MI Safeco IN Secura MI State Auto MI Westfield MI Wolverine MI Wolverine IN

* requires prior company approval ** only available after purchase

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Select the Fire Companies you represent.  To select multiple companies, hold down the Ctrl key as you click.

Allied P&C MI Auto-Owners* MI Citizens MI Farmers & Merchants* MI Farmer's Mutual MI Fremont MI Hastings Mutual MI Michigan Basic Property (MBPIA) MI Michigan Insurance Company MI Northern MI Pioneer State Mutual MI Wolverine MI * requires prior company approval

Please list other Fire Companies wanted

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How did you hear about us?   Please select an option Capital User Referral Postcard from Capital MAIA GLAD Meeting Carrier Marketing Representative Management System Representative Convention Booth Brochure Internet Search Former Capital User Do not remember

Agency Management System   None Agency Advantage Agency Systems AMS 360 AMS InStar AMS for Windows (AfW) AMS for Windows Online (Afw) AMS Prime 2000 AMS Prime (AgencyOne) AMS Sagitta Hawksoft NasaSoft Eclipse Nexure X-Dimensional QQSolutions SIS SEMCI TAM DORIS32 TAM Vision TAM Eclipse TAM Online TAM Classic X-Anatech Other System Version  

Current Rating Software vendor (please enter WEB if you only use carrier sites)   

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