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Thank You For Filling Out This Form
COMPLETELY!
We Value Your Privacy. Every Precaution Has Been Taken
To Insure Your Privacy And Security. Our Intent Is To Release Information To You
Only. We Will Not Provide Your Data To Any Third Party Or Group For Sales, Marketing,
Or Any Other Purposes.
Glenn Kaplan Agency
1531 Union Lake Road
Commerce Township, MI 48382
248-366-1000
kaplang@nationwide.com
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