Customer Satisfaction Survey.
Renewal 


    

Name of the account:
Effective Date:
Were you contacted by your underwriter at least 60 days prior to the renewal date? Yes No
Did you receive your renewal quote on time ?
Yes No
Why did you renew or not renew your account with us? (Check all that apply.) Service Coverage Price



The Distinguished Program Group
1180 Avenue of the Americas, 16th fl, New York, NY 10036
1-212-297-3100
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