Armed Forces Insurance

Our mission is to provide insurance coverage to all branches of the military and DoD Employees. Complete the form below and receive your FREE Jogger Wallet.

*First Name:
   
*Last Name:
   
*Home Address:
  
*City:
   
*State:
   
*Zip:
   
*E-mail:
  
*Day Phone:
   
Evening Phone:
   
*Date of Birth:
 mm/dd/yyyy
*Gender:
   
*Military Branch of Service:
   
*Military Service Status:
*Current or Last Rank/Grade:
   
Name of Parent or Spouse/Former Spouse of AFI Member:

(Only if different than the name above.)
Name of current or former AFI member or
Name of parent who is a current/former AFI member or
Name of military member or DoD employee   
Any Questions
or Comments:
This offer is subject to your eligibility with AFI. Please reviewour eligibility requirements.. This web offer is limited to one per household.  There is no obligation to purchase any Armed Forces Insurance products or service when you respond.  Please allow eight to ten weeks for delivery.  Limited quantities available. Armed Forces Insurance reserves the right to terminate or substitute this offer at any time, without notice.  By responding to this offer you agree to receive information on insurance products from Armed Forces Insurance. You must have received the promotional offer through email or direct mail to receive this offer.


Members: 800-255-6792
Prospective Members: 800-495-8234
Claims: 800-255-0187
550 Eisenhower Road
Leavenworth, KS 66048
©Copyright 2009 
Armed Forces Insurance 
Domicile KS NAIC# 41459 
Insurance products are underwritten by Armed Forces Insurance Exchange and its Affiliated Companies.