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  • MC Riding Assoication Discount

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    Win Hansen
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    Personal Lines - RV Page 1 of 1 FAX COVER SHEET To: Underwriting - 1MSA Product Fax: 1-800-811-5386 From: Agent Name: Blue Valley Insurance Agency Agent Number: 22375 Fax: _____________________ Total # of Pages: _______________ Policy Number: MSA 0028299184 Effective Date: 05072010 Insured(s) Name(s): Amy Hansen James Hansen ATTENTION: The item(s) below require follow-

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    Personal Lines - RV Page 1 of 1 FAX COVER SHEET To: Underwriting - 1MSA Product Fax: 1-800-811-5386 From: Agent Name: Blue Valley Insurance Agency Agent Number: 22375 Fax: _____________________ Total # of Pages: _______________ Policy Number: MSA 0028299184 Effective Date: 05072010 Insured(s) Name(s): Amy Hansen James Hansen ATTENTION: The item(s) below require follow-

    Copyright:

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    6 views1 page

    MC Riding Assoication Discount

    Uploaded by

    Win Hansen
    Personal Lines - RV Page 1 of 1 FAX COVER SHEET To: Underwriting - 1MSA Product Fax: 1-800-811-5386 From: Agent Name: Blue Valley Insurance Agency Agent Number: 22375 Fax: _____________________ Total # of Pages: _______________ Policy Number: MSA 0028299184 Effective Date: 05072010 Insured(s) Name(s): Amy Hansen James Hansen ATTENTION: The item(s) below require follow-

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    Personal Lines - RV

    Page 1 of 1

    FAX COVER SHEET


    To: Underwriting - 1MSA Product Fax: 1-800-811-5386 From: Agent Name: Blue Valley Insurance Agency Agent Number: 22375 Fax: _____________________ Total # of Pages: _______________ Policy Number: MSA 0028299184 Effective Date: 05072010 Insured(s) Name(s): Amy Hansen James Hansen

    ATTENTION: The item(s) below require follow-up action. Please allow sufficient time if sending in required documentation via mail Due No Later Complete Reminder Than

    You indicated an operator is a member of an approved riding association. Please submit proof/certificate of appropriate association 06/06/2010 membership to underwriting.
    If submitting via MAIL, please send to: Allied Insurance 5672 Personal Lines Processing Center 3820 109th St. Dept. 5672 Des Moines, IA 50391-5672

    https://aac3.alliedinsurance.com/PersonalLines/Templates/MSAPrintReminder.cfm

    5/7/2010

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