Apply for the 5-owner alpha

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90-120 word introduction about alpha program and target states

What we'll ask you for

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40-60 words explaining the intake purpose

Owner

  • email
  • phone
  • state
  • renewal month

Aircraft

  • model
  • N-number
  • photos
  • hull value basis

Pilot

  • total hours
  • time-in-type
  • medical and training dates

Operations

  • IFR and night usage
  • hangar
  • special operations

History

  • prior brokers/carriers
  • loss runs
  • prior claims

Uploads

  • current dec page
  • training certificates

Field groups with examples

What you are agreeing to

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  • We are not a broker
  • Authorization to Transmit
  • Privacy Policy consent

40-60 words plus 3 key consent points

Submit your details

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12-18 words introducing the form

Zoho intake form will be embedded here.

Zoho intake form (600-800px height)

Security note:

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12-18 word security reassurance