Adagio Purchase Alliance Member Application
If you have any questions or concerns about the application or coverage options included, please contact our Adagio Client Service Team..
Option A: Email the application to adagio@sthunt.com
1. Tab through the application and fill in the necessary fields.
2. Select the ‘submit by email’ button on the top right hand corner of the application. A ‘Select
Email Client’ box will appear with three options:
a) If you use a desktop email application such as Outlook, Outlook Express, Eudora or Mail:
Select ‘Desktop Email Application.’ An email with your application will automatically be sent.
b) If you use an Internet email application such as Hotmail or Yahoo:
Select ‘Internet Email.’ A box will appear with instructions for first saving the application
and then attaching and sending it via email
c) If you are not sure what type of email application you use:
Select ‘Other.’ A box will appear with instructions for first saving the application and
then attaching and sending it via email.
Option B: Fax your application to 519.646.5812
1. Tab through the application and fill in the necessary fields or print the blank application and
complete it in writing.
2. Fax your completed application to 519.646.5812.
Cheques should be payable to Stevenson & Hunt Insurance Brokers Limited and sent along with your signed and completed application to:
Stevenson & Hunt Insurance Brokers Ltd.
Attention: Tanya Diehl
400-250 York Street
London, Ontario N6A 6K2
Note: Coverage cannot be bound (effective) and a policy cannot be issued until payment in full has been received. As cheque processing times vary between financial institutions, policy issuance may be delayed by up to 10 days.