NFIB Affinity Provider Program Information Request
Thank you for your interest in becoming an NFIB Affinity Provider. For further consideration, please do the following:
1. Submit your information through this form
2. Download the 2017 MSC Affinity Provider RFI - the link to the document can be accessed after submitting the form
3. Email your responses to the questions located on the last page of the RFI
PLEASE REMEMBER TO DOWNLOAD THE RFI after submitting your information.
Address Line 2
State / Province / Region
Postal / Zip Code
What type of product/service would you like to offer NFIB members?
Please Select One
Business Products & Financial Services
Commericial Insurance & Workers' Compensation
Healthcare & Personal Insurance
Product/Service Description (100 characters)