Reduced Rates For Medical Benefits Available In Chester County PA.

SBAC
116 Saint Andrews Drive
Avondale, PA 19311
Phone (610) 444-1720

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

If your business qualifies, you may be 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:
City:	* Required
County:
State:	* Required
Zip Code:	* Required

Applicant Name:
Title:
Telephone:
Fax:
Email Address:	* Required
Website Address:
Industry:

Type Of Business Entity: Corporation LLC Partnership Sole Proprietor

Date Business Established:
Number Of Employees:	* Required
Renewal Date For Existing Health Insurance:

I Am Also Interested In The Following: Life Insurance Long Term Care Insurance Disability Insurance Pension or 401(k) Plans

Please type your comments, questions or message below...


Confirmation:	Yes! Please contact us regarding Medical Benefits.
Mailing List:	Yes! Please add us to your email mailing list.
Send Copy:	Check box, to send you a copy of this email.
Please enter "YES" to submit this form: * Required

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

Small Business Assistance Center • 116 Saint Andrews Drive, Avondale, PA 19311