Directions:

1. Please click here to download fillable application

2. Complete the application, save to your desktop or print to complete by hand.

3. Save the completed application (if you complete on the screen).

4. Print the completed application.

5. Scan and email to IAKF@pasins.com

                                        OR

    Send via fax to 713-869-6990 or 713-862-9909.

Thank you.

Pasadena Insurance Agency, Inc.
IAKF Insurance Program Team

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