SERVICE IN TAKE

SERVICE IN TAKE

Elon Miree- AGENT
Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Name*

(FRST NAME)(LAST NAME)
Birthday*

MonthDayYear
Date
Social Security #*
Address*
City*
State*
Zip Code*
Email Address*
example@example.com
Home Phone*
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Mobile Phone*
Format: (000) 000-0000.
Please Check the following that may Interest you:
FREE Communication Devices

Tablet (Limited time)Phone (Free)Other
Community & Senior Box Services

CSFP Senior BoxCFC BagPantryBirthday ShoppingChristmas Shopping
Medicare

Medicare ReviewNew EnrollmentSpecial EnrollmentMedicare (Disability 2 months65 or older)
Healthcare

Health Insurance 19-64 yrs.DentalDental, VisionAFLAC Services
Insurance

AutoHomeLifeBusinessOther
Taxes

Current YearBack YearAmendmentTax Resolution (reduce back pay taxes)
Financial Services

Complimentary Financial NeedsAnalysis (budget)Insurance Analysis (policy review)Debit Management (Budget)
Home Purchasing

BuySellerRent To Own
Spectrum

Free Phone Service with a New Internet (29.99) for a YearCableInternetWIFI TV-8600 Streaming channel
Other Valued Services

Notary ServicesLegal Services (Legal Shield)Credit AnalysisHome Health Service
Career Opportunities

Earn Extra Money, Real Estate, Taxes,Insurance AgentPart TimeFull Time
Health & Wellness

Chair massageMediation ExperienceWeight loss Management
other
Caring For Citizens Of Alabama

2424 EAST SOUTH BLVD.

MONTGOMERY AL 36116

OFFICE: (334) 525.5300 AND 239-3518

FAX:1(678) 401-02228

DIRECT: (334) 492-2486

Donations allow US to continue to serve.
Should be Empty:

SERVICE IN TAKE

Please Check the following that may Interest you: