America's #1 nationally brokered Bed and Breakfast / Country Inn Insurance * Toll Free: 877-275-7235 Fax: 240-405-1450 * E-mail: inquire@premierprograms.com
(Please Print Document and Return To Old Line Insurance along with a FORM W-9," Request for Taxpayer Identification Number & Certification") MASTER BROKERAGE AGREEMENT 1) Download the "Brokerage Agreement" in (.rtf) format. You can save the form to your hard drive under a name that you choose and pull it up any time for your convenience. You may fill out the forms on your computer, name and save them, and either attach them to an e-mail sent to inquire@premierprograms.com or print the forms, complete them, and fax them to: 240-405-1450. CLICK HERE TO: Download "Brokerage Agreement"