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VIA EXHIBIT LOTTERY PARTICIPATION FORM 2015 This form must be returned to the VIA no later than September 3, 2014, in order to participate in VCI As 2015 Exhibitor Lottery October 7 9, 2014. Please
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How to Fill Out VCIA Exhibit Lottery Participation:

01
Start by entering your personal information such as name, address, and contact details in the designated fields.
02
Next, provide the necessary information about your organization, including its name, address, and type of business. If applicable, mention any subsidiaries or affiliated entities.
03
Indicate the state or jurisdiction where your organization is domiciled or formed.
04
Specify the type of captive insurance company (pure, association, industrial insured, etc.) you are representing.
05
Provide details about the policies issued by your captive insurance company, including the policy number, policy effective date, policy expiration date, and policy limits.
06
If your captive insurance company offers reinsurance, disclose the name of the reinsurer, their rating, and the percentage of reinsurance ceded.
07
Attach any supporting documents, such as financial statements or actuarial reports, if required by the VCIA.
08
Review all the information you have entered to ensure accuracy and completeness.
09
Finally, sign and date the VCIA Exhibit Lottery Participation form.

Who Needs VCIA Exhibit Lottery Participation:

01
Captive insurance companies that are registered or licensed under the Vermont Captive Insurance Association (VCIA) need to fill out the VCIA Exhibit Lottery Participation form.
02
This form is required for captive insurance companies interested in participating in the VCIA annual conference lottery. By completing the exhibit lottery participation form, captives can secure a booth or table at the conference exhibition.
03
It is essential for captive insurance companies to showcase their services and network with industry professionals at the VCIA conference, making the VCIA Exhibit Lottery Participation form an important document for eligible entities.
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VCIA exhibit lottery participation is a process where individuals or entities submit their entries to participate in a lottery held by the VCIA.
Anyone who wishes to participate in the VCIA exhibit lottery is required to file their entry.
To fill out VCIA exhibit lottery participation, individuals or entities need to provide the necessary information as requested by the VCIA.
The purpose of VCIA exhibit lottery participation is to give individuals or entities a chance to win prizes through a lottery organized by the VCIA.
The information required to be reported on VCIA exhibit lottery participation may include personal or contact information, as well as any other details requested by the VCIA for the lottery entry.
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