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Click ‘Get Form’ to open the Demonstration Jump Insurance Application in the editor.
Begin by reviewing the 'Terms' section. Ensure you understand the submission timeline and methods for sending your application and payment.
Fill out the 'Applicant Information' section. Provide your name, team name (if applicable), mailing address, city, state, zip code, phone number, and email.
In the 'Jump Information' section, enter the date(s) of your jump, alternate date if necessary, venue name, location address, city, state, event name, and type of event. Indicate whether there will be tandem jumps.
List all insured participants in the 'Insured Participants' section. Include their names and USPA numbers. You can attach additional pages if needed.
Select your coverage options in the 'Premiums' section based on your needs and preferred payment method.
Complete the 'Credit Card Payment Authorization' if paying by card. Fill in all required fields including card details and signature.
Review all information for accuracy before submitting your application through our platform.
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