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| Company
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| Your Name: |
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| E-Mail: |
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| Day Phone: |
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| Evening Phone:
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I would like information on the following benefits offered by the New Castle County Chamber of Commerce:
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| Group Health Coverage |
| Group Dental |
| Group Life |
| Group Short Term Disability |
| Group Long Term Disability |
| Cafeteria Plan or Section 125 |
| Cancer Insurance
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| Hospital Confinement Reimbursement |
| Workers Compensation |
| Business General Liability |
| Business Auto |
| Business Property |
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New
Castle County Chamber of Commerce
County Chamber Office Park
P.O.Box 11247
Wilmington, DE 19850-1247
(302) 737-4343 FAX: (302) 737-8450
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