1.  What is the nature of your experience with the AFS Master System?
Home Office        
Producer Group   
Agent
Broker
Marketing Assistant    
Other 

2.  Are you currently an AFS Master System user?
Yes        
No  (your reason for interest) 

3.  Which carriers with an AFS Master System do you illustrate in your office?  (Pick all that apply)

4.  Which of your carriers not listed above would you like to see load products on the AFS Master System?
    
             
5.  Which of the carriers affiliated with AFS do you most often illustrate?


6.  What COLI concept(s) do you most commonly illustrate?
Supplemental Executive Retirement Plans
Group Term Carve Out Plans
True Deferral Plans
Death Benefit Only Plans
Collateral Assignment Split Dollar Plans
Endorsement Split Dollar Plans
Other 

7.  What area of the of the AFS Master System would you like to see improved?
Do you have  feedback or suggestions on areas you would like to see improved or on concepts you would like to learn more about?


8.  Would you be interested in AFS sponsored training?
Yes
Please explain further:

9.  Which trade shows do you currently attend?


10.  Which industry publications do you receive?


11.  Enter any additional comments or suggestions you have.   What additional services or programs would help you to better utilize the system?


12.  Tell us how to get in touch with you:
   Required Field indicated by *

13.  Please contact me
       E-Mail me the Master System News
       Let me know of any new services or resources made available by AFS