REQUEST INFORMATION FOR AN INSURANCE ASSESSMENT

Use this form to contact Seth Lodine, Church Insurance Specialist.  Seth works with more than 400 churches, camps and private schools throughout the Northwest.

GIIG represents the following Ministry Insurance carriers*:

Brotherhood Mutual

GuideOne

Church Mutual

Philadelphia Insurance Companies

*Not all of these carriers are available in GIIG represented states

First Name:
Last Name:
Your relationship with Church/Ministry:	Select Pastor Board Member Staff Person
Email:
Ministry/Church Address:
City:
State:		Zip Code:

By clicking "Submit" you authorize an agent from Glidewell Investments and Insurance Group to contact you regarding this submission.