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| To print information contained in this Web Site you must have the Adobe Acrobat Reader (version 4.0 or later). If you don't have this software, click on this link to get it. The software is free and easy to install. | 
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| Complete the Employer's Sponsor Application Form. The form is interactive and can be filled out on-line and printed. If you prefer, you can just print it and fill it out by hand. The form must be signed, dated and sent to: |
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Towers Affinity Benefit Services
4510 Cox Road
Suite 111
Glen Allen, VA
23060 Phone (877) 673-9797
FAX: (804) 273-9989 |
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| Print the Employee Enrollment form for distribution to your employees. |
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| For the initial enrollment and to add new employees or for changes in coverage, send the completed forms directly to the Administrator, Towers Affinity Benefit Services. |
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Towers Affinity Benefit Services
4510 Cox Road
Suite 111
Glen Allen, VA
23060 Phone (877) 673-9797
FAX: (804) 273-9989 |
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