Parcel Insurance Plan

Fireman's Fund

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1. Average number of insured packages per
Day Month  
2. Average value per insured package
3. Highest insured value for any one package
4. Who is your primary carrier?
5. What kind of products do you ship?
6. Do you have an electronic shipping system? Yes  No
7. What is the name of the system?
8. How did you find out about PIP?
9. If other, please explain.
   
Contact Information  
First Name:
Last Name:
Title:
Organization:
Street Address:
Address (cont.):
City:
State:
Zip/Postal Code:
Country:
Work Phone:
FAX:
E-mail:
   
Your Information  
First Name:
Last Name:
Title:
Organization:
Street Address:
Address:(cont.)
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
FAX:
E-mail:
Send Proposal to: Customer Self Both
 

 



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