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Please enter your desired effective date. If you’re a returning client, please consult your previous year's
Certificate for an accurate renewal date. Failure to do so may result in a period of double coverage or lapse in coverage.
If you no longer have access to your Certificates, please contact our office at 800-995-9768 and an agent will assist you
in determining correct effective date.
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Gagliardi Insurance Services - PA License # 809840 - 2018 Baseball / Softball Insurance Application
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