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Need Health
                                Coverage?
        We offer Health Coverage for:

    • Individuals without                                        For a FREE quote call or fax
      Group Coverage
                                                                   Kathryn Swinehart
    • Independent
                                                                           Licensed Advisor
      Contractors
                                                                             614-289-8990
    • Dependent/Student
    • COBRA/Alternative
    • Self-Employed
    • Medicare                                                      You can put your
      Supplements                                                      logo here
    • Small Businesses

        For a Free Quote Please fill out and FAX to                                your fax #
                           FREE INFORMATION REQUEST CARD

Name__________________________________Date of Birth______/____/______Male/Female________

Address________________________________City/State/Zip Code______________________________

Daytime Phone # _________________Evening Phone # ___________________Fax # _______________

Spouse’s Name__________________________ Date of Birth______/____/______Male/Female________

Children Names / Ages __________________________________________________________________

I understand that there is no obligation but a Sales Representative may call me.


   AHP 0847

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Avias Flier 2

  • 1. Need Health Coverage? We offer Health Coverage for: • Individuals without For a FREE quote call or fax Group Coverage Kathryn Swinehart • Independent Licensed Advisor Contractors 614-289-8990 • Dependent/Student • COBRA/Alternative • Self-Employed • Medicare You can put your Supplements logo here • Small Businesses For a Free Quote Please fill out and FAX to your fax # FREE INFORMATION REQUEST CARD Name__________________________________Date of Birth______/____/______Male/Female________ Address________________________________City/State/Zip Code______________________________ Daytime Phone # _________________Evening Phone # ___________________Fax # _______________ Spouse’s Name__________________________ Date of Birth______/____/______Male/Female________ Children Names / Ages __________________________________________________________________ I understand that there is no obligation but a Sales Representative may call me. AHP 0847

Editor's Notes

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