NFHS Member Associations Liability Insurance Certificate Request Form
For the period 7/01/09 to 7/01/10

For further information or to contact us directly, please submit your request to:

By Mail:
Bollinger Sports
101 JFK Parkway
PO Box 390
Short Hills, NJ 07078

By Phone:
General Toll-free number: 1-800-350-8005
Sports Claims Toll-free number: 1-866-267-0093

You may also complete the form below.

Select A Category:
* Your Name or Organization Name:
* Certificate Holder:
* Certificate Holder Mailing Address:
* Certificate Holder City:
* Certificate Holder State:
* Certificate Holder Zip:
* Is the certificate holder requesting to be named as an additional insured?
* Contact Name:
* Your E-mail Address:
E-mail Address Confirmation:
* Phone:
Fax:
Name of Local/State Association:
	I HEREBY CERTIFY THAT 100% OF THE MEMBERS OF THE ASSOCIATION APPLYING FOR THIS "PROOF OF INSURANCE" ARE CURRENT MEMBERS OF AN NFHS PROFESSIONAL ASSOCIATION.
	*Please allow 2 days for processing.

NFHS Member Associations Liability Insurance Certificate Request Form For the period 7/01/09 to 7/01/10

NFHS Member Associations Liability Insurance Certificate Request Form
For the period 7/01/09 to 7/01/10