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Step 1 of 3: Enter Insured Information
Where did you hear about insuremykids®?    (optional)
Start Date :     (dd-mm-yyyy)
Province School Board Multi-year Option  
    The 3 and 5 year rates can save you 5% and 10% respectively.
  Date of Birth    
First Name Last Name YYYY MM DD School Name Plan   view plans Optional Coverage  
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