Priority Fax Cover Sheet by fanzhongqing

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									Priority Fax Cover Sheet
                                                           Risk Alternatives & Management
                                                              Risk Alternatives & Management
                                                               (Risk Evaluation Bureau, Inc)
                                                               3104 Creekside Village Drive, Ste 501
                                                                      Kennesaw, GA 30144
                                                                       Ph (770)-424-5770
                                                                            (866) 673-0865
                                                                       Fax (770)-424-5774
                                                             Email: marketing@ram-insurance.com


     To:      RAM Marketing                        From:


     Fax:     770-424-5774                         Pages:

     Phone:                                        Date:

     Re:      Agency Agreement Forms               cc:


      Urgent       For Review     Please Comment          Please Reply        Please Recycle


      Comments:


                       Completed Agency Application Form

                       Signed & Dated Contract Page

                       Copy of Current E&O Dec Page

                       Copy of Resident & Non-Resident “Agency” License(s)

                       Copy of Resident & Non-Resident “Agent(s)” License(s)

                       Completed & Signed W-9 Form

								
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