Paper Census Form

Use this form if you prefer putting your employee census on PAPER rather than ONLINE.  Just print this form off, complete it and then send or fax or it to us.

Steve Shorr Insurance 1027 W. 11th # 3 San Pedro, CA 90731-3558

Tel. (310) 519-1335 (888) 277-8219   Fax - 310.519.1359  Press your send button immediately, do not wait for fax tones.

Email - Steve.S.1907@Cox.net     Send Text Message to our Cell Phone

Use this form if you prefer putting your census on PAPER rather than ONLINE.

Click here for Caveats, Disclaimers, Usage Agreement  & Contact Info.

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1027 W. 11th # 3 San Pedro, CA 90731-3558

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