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Convenience Store Supplemental ApplicationAPPLICANT INFORMATIONApplicant Name: AKA / DBA: Mailing Address:LOC # BLG # Address City State Zip Code Insured
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Insured contact phone is the phone number provided by the policyholder to the insurance company for communication purposes.
The policyholder or insured party is required to file insured contactphone.
Insured contactphone can be filled out by providing the phone number in the designated field on the insurance application or policy form.
The purpose of insured contactphone is to ensure effective communication between the insurance company and the policyholder in case of emergencies or important updates.
The information reported on insured contactphone must include a valid phone number where the policyholder can be reached.
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