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Marianne Cipollone, Insurance Broker
Cell:
(416)-994-0892
Office:
(905)-660-8278
Email:
marianne@oraclerms.com
Hole in One Insurance
Company Name:
*
Contact Name:
*
Address:
*
City:
*
Province:
*
Postal Code:
*
Phone Number:
*
Email Address:
Tournament Name:
Golf Course Name:
Course Address:
City:
Province:
Postal Code:
Date Coverage Required:
Date and time
Number of Amateur Participants:
Number of Professional Participants:
Hole to Be Insured:
Yardage of Hole:
Number of Rounds:
Coverage Desired:
$1,000
$5,000
$10,000
$25,000
$50,000
$100,000
Security Code:
Enter security code:
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