Purchase Previous List

Purchase Previous Attendee Listing

The conference attendee list contains names, titles, companies, and addresses for those who have not opted out of the attendee directory. The list will be sent via e-mail as an Microsoft Excel spreadsheet.

The cost is $250.

Order form

First Name* Middle Initial Last Name* Email* Title*

Captives: Please enter name of Captive Insurance company, not parent company

Company* Organization* Parent Company Industry Type (Captives only) Address 1* Address 2 City* State/Province* Zip Code* Country* Direct phone & extension* Fax*

Payment Options Payment Options: Payment Amount* Credit card type Credit Card Number Expiration Month Expiration Year Name as it appears on card

Vermont Captive Insurance Association
One Lawson Lane, Suite 320
Burlington, Vermont 05401-8445
802.658.8242 | 802.658.9365 fax
vcia@vcia.com