AFFTA Member Insurance

Insurance for Lodges, Fly Shops, Non-Fishing & Hunting Guides, and Other Businesses

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URL

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Name*

First Last

Date of Birth*

Email Address*

Daytime Phone #*

Address*

Street Address Address Line 2 City ZIP / Postal Code

State*

Business Name

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State*

What type of business do you need liability insurance for?*

Type of Guide Services You Offer*

Quickly describe all of the different types of guiding services you intend to offer your clients.

Other Liability Insurance*

Let us know what other type of business you need liability insurance for.

Current Insurance?*

Who is your current carrier?*

What date would you like coverage to start?*

What is your policies effective date?*

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Policy Renewal Date*

Month and year is all we require at this time.

How did you hear about Cross Current Insurance?*

Which one?*

Tell us how you heard about Cross Current*

Add your referrer's full name:*

As a thank you, your referrer will be added to our next quarterly drawing to win a cool prize!

Are you a member of an association?*

Which association?*

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