What type of company are you?
Early Stage Investor
Mid/Late Stage Investor
Investment Bank/Other Financial Services
Accelerator/Innovation As A Service/Co-Creation
Technology Solution Provider
Specialty Network (e.g. Roadside/Repair Centers/Disaster Recovery/Etc.)
Professional Services (Legal/Consulting/Aduiting/Etc.)
Speaker Brief Bio and/or Areas of Expertise
Which Insurance Lines of Business apply to you?
Commercial Lines – D&O
Commercial Lines – Fleet
Commercial Lines – Property
Commercial Lines – Small Commercial
Commercial Lines – Workers Comp
Health / Wellness / Benefits
Health / Wellness / Employee Benefits
Life & Annuities
Personal Lines – Auto
Personal Lines – Home
Personal Lines – Pet
Personal Lines – Renters
Specialty Lines – Crop/Agriculture
Specialty Lines – E&S
Specialty Lines – Marine/Aviation
Supplemental Health/Voluntary Benefits
Which of the following best describes your Areas of Interest and Expertise?
Augmented Reality/Virtual Reality
Connected Insurance: IoT/Smart Home/Connected Self
Core Insurance Solutions
Diversity & Inclusion
High Net Worth
Product Development (New Insurance Products)
Robotic Process Automation
Satellite Imagery/Computer Vision
What part of the Insurance Value Chain do you focus on and/or are you trying to change?
What differentiates you from others solving similar problems?
Where are you based and what part of the world do you offer your services?
What is one major thing you/your company would like to accomplish in the next 12 months?
What speaking formats are you comfortable with?
PanelDemo StageCase study
Will you be timing a launch or major announcement at ITC 2022?
What's one thing we didn't ask that you think we should know about you?
Submitter First Name (if different from speaker)
Submitter Last Name (if different from speaker)
Submitter Company Name (if different from speaker)
Submitter Job Title (if different from speaker)
Submitter Email Address (if different from speaker)
Would you be interested in seeing our sponsorship prospectus?
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