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Hi Sandy! I like your Web site ... it's to the point, clear and easy to understand.    
- June, Kelowna, B.C.

Good work on the website....it is easy to read, easy to navigate and provides all the basic information a person would want to know prior to contacting you for further information.  Congratulations on the award of being voted  one of the Best Insurance Brokers  again!  Hey we know you're good! 
- Reg & Sandi, Swift Current SK

CONFIDENTIAL EMPLOYEE DATA SHEET
Name of Organization:
Contact Name:
E-mail Address:
Phone:
Fax:
Nature of Business:
Years In Business
Current Benefit Plan? Yes  No
If Yes, Please Supply Current Design:

S- Single Coverage (employee only)
F- Family Coverage (employee & eligible dependants)
W- Waived for Extended Health or Dental (to be eligible for waiver, employee must be covered by spouse's plan)

Name Sex Deps.
Y/N
Birth Date
D/M/Y
Earnings
Hr/Mo./An.

EHC/ Dental
Code (see below)

Occupation Date of Employment Prov.
of
Res.
Notes:
Date Completed:

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