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Individual Grant Request Form

Please review our Individual Grant Guidelines before clicking on the link below.  If you have any questions about our Mutual Aid Ministries Individual Grant Request form, contact us at info@maxinsurance.com or phone (877) 971-6300.

Complete our Individual Grant Request Form here.

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    4400 College Blvd. Suite 250
    Overland Park, KS 66211

Disclaimer

Policies underwritten by MutualAid eXchange ("MAX") or through MAX Insurance Agency, Inc. Not available in all states. This website is intended to give a brief overview of insurance coverage options MAX can provide. It does not describe all of the coverage limitations, exclusions and enhancements. Coverage availability is based on applicable state laws and is subject to change. For specific coverage details, see the actual policy.

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