
| Mizell Insurance Agency 11893 New Kings Road Jacksonville, FL 32219 Ph (904) 764-3336 Fax (904) 764-2442 |
| Thank you for your interest in our Aflac products and services. One of our Aflac Specialty Agents will be able to show how Aflac can enhance your business by offering employee benefits at NO COST to the Employer.Please fill out the form below so that we may contact you as soon as possible for an appointment to meet with you personally to discuss if we are a fit for your company or organization. We are positive you will find Aflac as a solution to supplementing your Employee Benefits. |

| Don't have a business but want the benefits? We can still help! We can write persons through age 64 through our Direct Policies! *Not all Aflac policies are available on a Direct basis* |
| Did you know that 80% of Americans file for Bankruptcy due to some sort of catastrophic illness or injury? Did you know that 85% of those people HAD Health Insurance? What would you do? Who would you turn to? Aflac is your solution! |