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Special Event Electronic Form

You can submit your special event form electronically by filling out the form below.  If you have any questions, please feel free to contact our main office at (413) 726-3930 or info@your-bis.com

start date and finish date

Limits of Liability Requested:
yes
no
yes
no
yes
no
yes
no
yes
no
Will the event use, vendors, performers, contractors, subcontractors, or independent contracts?
yes
no

Contact Us


Business Insurance Services Inc.
933 East Columbus Ave.
Springfield, MA 01105

Phone: (413) 726-3930
Fax: (413) 726-3931
Email: info@your-bis.com

 

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