TEMPLATE NAME: Application needs signature

SUBJECT: Insurance application

MESSAGE:

Enclosed is an application for insurance that we need for you to complete. 
We have marked the areas that need to be filled in or signed.  Please take a moment 
to complete this and return it to us in the envelope provided. 

Keep in mind that this needs to be returned to us within 5 days of the effective date. 
If you can't get it back to us within that time period, please let us know right away. 
Without this we can't bind any coverage and the application may be voided. 

Thank you so much and if you have any questions, please don't hesitate to contact us. 

<<User Name>>