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INSURANCE REQUEST FORM

use this format: 5556667777 with no spaces.

Type of Insurance Certificate
Named
Generic

The facility will specify if they need a name or generic certificate.

Start Date
Month
Day
Year

Date of event, or starting day of a range of dates for ongoing meetings.

End Date
Month
Day
Year

For one day events, start and end date are the same. For club meetings with a range of dates, simply enter the date of the last meeting.

Insurance - Club Generic
Club Generic$257.55

Stoa payments are processed through Stripe, an industry-standard vendor. Stripe charges Stoa a small fee for each credit card transaction. Consequently, your card will be charged $250 (club website fee) + $7.55 (processing fee) = $257.55.

Insurance - Club Named
Club Named Insurance$309

Stoa payments are processed through Stripe, an industry-standard vendor. Stripe charges Stoa a small fee for each credit card transaction. Consequently, your card will be charged $300 (club website fee) + $9 (processing fee) = $309.

Insurance - Tournament Generic
Tournament Generic Insurance$309

Stoa payments are processed through Stripe, an industry-standard vendor. Stripe charges Stoa a small fee for each credit card transaction. Consequently, your card will be charged $300 (club website fee) + $9 (processing fee) = $309.

Insurance - Tournament Named
Tournament Named Insurance$360.45

Stoa payments are processed through Stripe, an industry-standard vendor. Stripe charges Stoa a small fee for each credit card transaction. Consequently, your card will be charged $350 (club website fee) + $10.45 (processing fee) = $360.45.

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