J. Maxime Roy, Inc.

Export Insurance Services

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Award:

Ex-Im Bank 2004 Regional Broker of the Year

Interested in applying? Tell us what you want.

Please use the form below to provide us with information on your company and what type of credit or political risk insurance coverage you are interested in. We will contact you as soon as possible to discuss your coverage needs and to begin the application process.

Company Name*
Address
City*
State*
Zip
Contact Name*
Phone Number*
Fax Number
Brief Description of your business

What type of credit insurance or political risk insurance are you interested in?*

Is your company currently selling on credit to foreign companies?
Does your company have foreign based assets (land, buildings, equipment or other assets)? If so, please briefly describe.

Please use this space to further explain how you would like us to assist you.

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