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As one of the original participants
in The BBB Reliability Program, we are proud to
make it known that we adhere to the ethical guidelines promoted
by the Better Business Bureau. If you click on the logo at the
left, it will take you to the Better Business Bureau's main site,
where you can inspect their file on Champion Insurance. (Don't
forget to come back!) |
Information
Request Form (this is
NOT an application for insurance):
(return to
top of page)
Use this form (please complete ALL the
blanks) to request rates via this Web page. All information
requested is needed to provide a reply. We guarantee
the information provided here will be kept confidential and will
NOT be sold/given to any other entity or used for any other
purpose.
NAME...
first-middle-last.. your FULL name:
E-MAIL ADDRESS... essential:
GENDER:
DATE OF BIRTH: mm/dd/yy
CITIZEN OF:
TRAVEL DESTINATION:
DATE YOU WANT COVERAGE TO BEGIN: mm/dd/yy
DATE YOU WANT COVERAGE TO END: mm/dd/yy
RESIDENT MAILING ADDRESS... where you live
TYPE OF COVERAGE REQUESTED
(select the coverage you desire):
SPACE FOR BRIEF REMARKS: (tell us any particulars that might be relevant)
Go back to CHAMPION
INSURANCE HOME PAGE
Send e-mail inquiries to: 
...make "INSURANCE
INQUIRY" (all caps) the subject of your e-mail
Champion Insurance Advantage,
Ltd. - P.O. Box 1050 - Bel Air MD,
21014-7050
Phone: (410) 879-4577 -
Fax: (410) 836-7441
Copyright © 1994-2008 R. A. Milan, CHAMPION INSURANCE ADVANTAGE,
LTD.
Document revised: Wednesday Jan 02, 2008
Our office hours are 9-5 Eastern Time (0900 - 1700), Monday
thru Friday
FAX line available 24 hours a day,
(other times,
please use email or leave voice mail)
United
States Navy Blue Angels
Flight Demonstration Team
©
2008 R. A. Milan photo
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