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Athletic Insurance

Attached below are the short term quote options for students. Farmers Insurance will provide insurance for athletes in need of it.
Justin Wehar will be the contact person. 
We need:
-Student Name
-Phone Number
-Date of Birth
-Social Security
-Parent Name
-Plan Deductible wanted
-Routing and Account number (or card info) for monthly EFT payments (this is the ONLY payment option available)
BC ST.pdf
Kelsie Wikoff,
Jul 31, 2019, 5:59 PM