Legacy Financial Network - Group Health : Quote Request

Group Health

Thank you for your interest.

There are certain types of benefits that employees will automatically expect from their employer. The first is health care. The majority of employees will not only expect you to provide these benefits, but may also be interested in other options, including group life and group dental.

After completing the form, please click on the "Submit" button. Your information will be emailed to our offices and we will process your request. All information will be kept confidential.

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LEGACY Financial Network

Florida Branch

3000 North University Drive
Suite D Coral Springs, FL 33065

Phone: 954.906.5440

Puerto Rico Branch

161 Ponce de Leon Avenue ,Suite 301
San Juan, PR 00917

Phone: 787.333.6050

Toll Free: 877.515.9383

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Fax: 561-257-1208

www.legacyfn.com

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info@legacyfn.com

Link to Client Relationship Summary form can be found at http://kovacksecurities.com/Form_CRS.pdf

Juan A. Bruno, Trenton Potter and Ed Maisonet are registered with and offer securities through Kovack Securities, Inc. Member FINRA/SIPC. 6451 North Federal Hwy, Suite 1201, Ft. Lauderdale, FL 33308 (954)782-4771. Advisory Services offered through Kovack Advisors, Inc. a SEC registered investment advisory firm. Legacy Financial Network is not affiliated with Kovack Securities, Inc. or Kovack Advisors, Inc. Registered Representative may only conduct business with residents of the states and/or jurisdiction for which they are properly registered. Linked sites are strictly provided as a courtesy. Kovack Securities, Inc. does not guarantee, approve nor endorse the information or products available at the sites, nor do links indicate any association with or endorsement of the linked sites by Kovack Securities, Inc. nor Kovack Advisors, Inc.