Common Contracts

MULTIFLEX DENTAL AGENT/PRODUCER AGREEMENT

Agent/Producer Agreement • June 30th, 2011 • Arizona

• Contract Type
  Agent/Producer Agreement
• Filed
  June 30th, 2011
• Jurisdiction
  Arizona

This Agreement is entered into this day of , 20 , by and between Merchants Benefit Administration, Inc. (“MBA, Inc.”), an Arizona Corporation located at 15974 N. 77th St Suite 102, Scottsdale, AZ 85260 and (hereinafter referred to as Agent).