Alternative Balance, LLC, Massage Equipment & Supplies, Hillsboro, NH

Membership Application

Step 1: To get started select a membership option and fill out the required fields.(*)
Step 2: Continue on our secure server and pay by credit card.
Step 3: Instantly Access your Account & You will receive an e-mail confirmation which will include:

  • Your Certificate of Insurance (attached PDF).
  • Copy of the Insurance Policy (attached PDF).

Your insurance and membership will be instantly active and you will be able to access your account instantly and at anytime print and change your certificate and add additional insured. (for $10 ea.)

Your Information
Trade / Service Information
Check all that apply.
 
Only if required by state
Additional Insureds
Your membership will provide you with insurance as an individual only. Often your landlord or place of work or tradeshow require that they be listed on your Certificate of Insurance as an Additional Benefit Holder specifically for your work. You may also choose to list your company name as the additional insured. The Additional Benefit Holder is not for other professional providers as they must have their own individual policy. There is a $10 charge for each additional insured.
Additional Insured 1
Additional Insured 2
Additional Insured 3
Additional Insured 4
Additional Insured 5
Referral Information
Mail Delivery Options
NOTHING IS SENT BY U.S. MAIL UNLESS PAID HERE. PLEASE ALLOW 7-14 BUSINESS DAYS.
Terms of Use Authorization and Disclosure
(click here for "terms")

Total: