GCFM Club Insurance
Insurance Form Printable version
Sign up March 15 through April 15, 2017 only Coverage effective June 15, 2017 through June 14, 2018
The coverage is offered only once a year.
WHAT IT COVERS: The policy offered to clubs through GCFM is a “Premises” policy. It covers clubs, members and visitors as well as the meeting space. In addition, the policy covers club sales and special events as long as alcohol is NOT served. Clubs planning special events should contact our agent, Kenneth Sullivan at (781) 235-3100 ext. 250 prior to the event if an insurance coverage certificate is needed. RATE: The rate for this coverage is $2.50 per actively participating member. An active member is one who attends one or more meetings or other club events in a given year. PAYMENT: Send checks to the GCFM Office, 219 Washington Street, Wellesley Hills, MA 02481. Make checks payable to GCFM and indicate “Club Insurance” on the bottom of the check to ensure your payment is properly credited. Include the form below with your payment. Please note this is the only time of the year you will have the opportunity to purchase or renew Club Insurance through the Federation. This notice is included in an email to each club President, the Spring Mayflower and on GCFM’s website.
GCFM CLUB INSURANCE SIGN-UP FORM
SIGN-UP PERIOD: MARCH 15 TO APRIL 15, 2017
INSURANCE EFFECTIVE DATES: JUNE 15 2017 THROUH JUNE 14, 2018
_______Number of actively participating members at $2.50 each $___________Total Amount due.
Please make your check payable to GCFM /Club Insurance. Mail this form to: GCFM Office, 219 Washington Street, Wellesley Hills, MA 02481