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Marketing Direct Insurance Services, Inc. writes California bonds through American Contractor Indemnity Company. Applications may be filled out via the Web or calling an Authorized Agent. If you choose to fill out the form online, upon completion, simply print, sign and fax to Marketing Direct Insurance Services, Inc. at the below listed fax number. Please contact an Agent for detail instructions on proper form selection.

To access these forms you will need to download and install Acrobat Reader. Faxing the application will immediately begin the application process but, original signatures and application must be mailed to Marketing Direct Insurance Services, Inc. at the below listed address. Please fill out the appropriate Application on line. Make sure to include the following information in the AGENT INFORMATION section found at the bottom portion of the application before you print and fax with the following:

NAME: Marketing Direct Insurance Services, Inc.
ADDRESS: 463 Brewster Ave. Suite 5
CITY & ZIP CODE: Redwood City, CA 94063
PHONE: (650) 365-1669
FAX: (650) 365-1693
ACIC PRODUCER NUMBER: 6555


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