E-Brochure Request Form Urgency(Required) Immediate Need Need today, but not urgent Can wait until tomorrow (if request is after business hours) Loss Report Number OR Name & City(Required) Solicitor(Required) blair@aipnw.com christine@greenspan-adjusters.ca david@aipnw.com dow@greenspan-ai.com grant@greenspan-ai.com jessica@greenspan-ai.com ken@greenspan-ai.com ken@aipnw.com kenny.taylor@greenspan-ai.com max@greenspan-ai.com richard@greenspan-ai.com rino@greenspan-ai.com robertc@aipnw.com steve@greenspan-ai.com Name of Solicitor/Adjuster(Required) Email(Required)Where are we sending this? EmailAdditional email recipient? EmailAdditional email recipient? Branding(Required)TGCAIPNWGAIType of Brochure(Required)CommercialResidentialType of email(Required)Spoken to: Fire Recovery...Follow Up To Our ConversationNever Spoken to: Recent Fire Loss...Custom IntroductionAdd a personal note to your client by customizing the first paragraph. If left blank we will use our templated email. Custom EndAdd a personal note to your client to close out your email. If left blank we will use our templated email. References and Quotes to IncludeFor the sake of file sizes and download speeds for clients, please try to limit your requests to 3 categories. Major Corporate Residential Agricultural Alaska Apartments Attorney Automotive Educational Govermental Hawaii Hotels/Motels/Resorts Idaho Idaho, Montana, Wyoming Kansas/Missouri/Iowa Lumber/Hardware/Building Materials Manufacturing Oregon Pacific Northwest Property Management Real Estate Recycling Religious/Non-Profit Restaurants Utah Washington Washington (Eastern) Washington (Western) References and Quotes to IncludeFor the sake of file sizes and download speeds for clients, please try to limit your requests to 3 categories. Major Corporate Residential Agricultural Agricultural-Winery Apartments Arizona Arizona Apartments Attorney Automotive Earthquake Eastbay Eastbay Commercial Educational Entertainment Firestorm Firestorm / Napa-Sonoma Fresno Govermental High-End Residential Highway 50 Corridor Highway 80 Corridor Hotels/Motels/Resorts Lumber/Hardware/Building Materials Manufacturing Mission District Napa-Sonoma Northbay Peninsula Property Managers Publicly-Traded Real Estate Recycling Religious/Non-Profit Reno/Sparks/Lake Tahoe Restaurants Sacramento Valley Sacramento (North) San Francisco San Joaquin & Stanislaus Counties San Joaquin Valley Sierra Foothills South Bay Custom References & QuotesThis may include specific cities/regions not listed above, insurance companies, or other references that are not pre-canned. Additional Attachments Residential ROI Commercial ROI Residential 'Differences We Make' Commercial 'Differences We Make' House Always Wins Additional AttachmentsIf you would like to add a specific attachment not listed, please write it in below. Any Additional Notes?CAPTCHAUntitled NameThis field is for validation purposes and should be left unchanged.