MASA Assist Partnerships:

Organization:
Number of Employees:
Contact Name:
Address:
City:
State:
Zip:
Phone: Ext:
Email:
What type of membership do you want to offer to your employees/members?
Individual     Family
Are you interested in cross promotional efforts?
Yes   No
Will you endorse MASA Assist?
Yes   No
What type of membership do you want to offer to your employees/members?
For further information please contact Laura McCormick, MASA Assist Group Benefits Representative.

Phone: 1-800-423-3226

Email: lmccormick@medairservices.com

 

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