Expression of Interest Survey

By completing this survey you are not making any commitment to purchase insurance cover.  The sole purpose of this survey is to establish if there is interest in this initiative.

By including your details you give the Commercial Producers Association (the CPA) permission to contact you in the future.

Your personal information is confidential and will not be shared or distributed.

We thank you for your interest and participation!

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* 1. Your Name:

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* 2. Your e-mail address:

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* 3. Your phone number:

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* 4. What is your current job in the industry?

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* 5. Are you a freelancer or do you work for a company that supplies service in the industry (agency, production company, supplier etc)?

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* 6. Which level of cover would most interest you?  If you need more info on the different options, please follow the link before answering this question: https://cpasa.tv/introducing-crew-cover/

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* 7. This cover provides death & disability and emergency medical cover which occur as the result of an accident.  There is also limited life cover (death by natural causes) and a funeral policy. What other types of cover might interest you in the future?

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* 8. Do you have any other ideas or suggestions you would like to share with us?

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