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Shifflett Insurance, Inc. 3047 Center Point Rd. Cedar Rapids, IA 52402 Toll Free: 800-584-7012 Fax: 319-398-7461 andy@shifflettinsurance.com 
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Apply now online for free!There is no application charge and our application takes only a few minutes to complete. Simply download and print our application below, then fax it to our office. Our dedicated fax line is able to receive applications 24 hours a day, 7 days a week.You're also able to scan the completed form into your computer and e-mail the file to us via the link below, if you prefer. Shifflett Insurance Daycare Application (application.pdf, 449KB) (Download Here) Fax Line: (319) 398-7461 E-mail: andy@shifflettinsurance.com Note: You need Adobe Reader installed on your computer to view the application. |
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