Wholesaler Multiple Event Quote - HIOSA Hole in One Insurance

ALL golf companies, NON-golf companies, Agents, and Agencies can qualify if you provide more than one hole-in-one prize coverage or quote per fiscal year. HIOSA will also purchase in part or in full your established hole-in-one business, clients or client list at the fairest market rate available. Please provide us w/ all the needed information so we can put together a complete customized commissioned program to suit your individual needs.

Contact Information
E-mail:	*
Contact Name:
Company Name:
Telephone:
Fax:
Year business established:
State business established in:
HIO events in first year:
HIO events in past year:

Special Services Required
Tee signs needed:
Supplementary prizes needed:
Credit Card Services:
1-30 Day Credit:
24/7 Availability:
Non-Golf Prizes Coverage:
Consulting:
Other:


Sample HIO Fees
Please provide sample fees if available:
Prize Value: Players: Yardage: Fee:
Prize Value: Players: Yardage: Fee:

Additional Information
Please use this space to provide any additional information about your business or services we can provide:

Please allow us 48 hours to review your information. A HIOSA consultant will get back to you with any questions, contact you directly or submit a proposal for your review. ALL information will be kept with the strictest of confidentiality.

HIOSA

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