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Affinity Benefit Resources
 
      Association Benefits Proposal Request
 
  Consider our advantages:
  • Association Purchasing Power
  • Individual or Group Plans
  • Multi-State Location Plans
  • Single Source Administration
  • Online Access to Plan, Rates and Enrollment

We look forward to working with you in providing exceptional benefit programs for your association
 
 
Association Name:
Contact Name:
Address:
City:
State:
Zip:
Phone:   Ext:
Fax:
EMail:
   
What is the nature of your association?
Number of units:
Number of states:
Do you currently offer a program?
Comments:

 

 
  You may also download and complete a proposal request form below. Please fax the form to 1-800-888-1470.

Click here to download proposal request form.
 

  
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