Small Business Assistance Center Network

Reduced Rates for Medical Benefits
Are Now Available In Chester and Delaware Counties!!

If your business qualifies, groups of any size are now eligible for health, dental, prescription, vision and other insurance benefits at reduced rates.

Yes! I want to learn more about Medical Benefits.
Please contact me about a no-obligation consultation.

MEDICAL BENEFITS PROGRAM FORM

Please use this form to apply online:

Company Name:  * Required
Address Line 1:  * Required
Address Line 2:    (optional)
City:  * Required
County:    (optional)
State:  * Required
Zip Code:  * Required
Applicant Name:    (optional)
Title:    (optional)
Telephone:    (optional)
Fax:    (optional)
Email Address:  * Required
Website:    (optional)
Industry:    (optional)
 
Type Of Business Entity: Corporation  
LLC   Partnership   Sole Proprietor  
 
Date Bus. Established:    (optional)
Number Of Employees:  * Required
Renewal Date For Existing Health Insurance:   (optional)
 
I Am Also Interested In The Following: Life Insurance  
Long Term Care Insurance   Disability Insurance   Pension or 401(k) Plans  
 
Confirm:  Yes! Please contact us regarding Medical Benefits.
Mailing List:  Yes! Please add us to your email mailing list.
 
Please type your comments, questions or message below...

Any questions or problems, call: 610-444-1720 or email: inquire@sbacnetwork.org.



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Small Business Assistance Center • 90 Daniel Drive, Avondale, PA 19311 • Phone (610) 444-1720