Society of Professional Benefit Administrators

Two Wisconsin Circle, Suite 670, Chevy Chase, MD 20815-7003
Phone: (301) 718-7722 Fax: (301) 718-9440

SPBA 2009 Survey of Third Party Administrator

Licensing Statutes

Order Form

Date _________________

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SPBA 2008 Survey of Third Party Administrator 

Licensing Statutes                                                                                           $500.00

(SPBA's strict independent audit process requires that this form be accompanied with a check. To use a credit card, use our online form instead.)

We send the Survey to you via priority mail as soon as we receive your check.

Please send this form and your payment to

SPBA

Two Wisconsin Circle, Ste. 670

Chevy Chase, MD  20815

Questions:  Call 301-718-7722 or email spba@erols.com