Print Application

You can apply for iPad insurance by mail or fax.  Click on the link below to print off the application.

Print Individual iPad Application

Print K-12 iPad Application

Please mail or fax your completed application with proper payment to:

Worth Ave. Group
P.O. Box 2077
Stillwater, OK 74076
Make checks payable to: Worth Ave. Group

Fax (credit card payments only): 405-372-9587