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Le fields are populated as incomplete submissions will not be accepted. Step Two: Return your submitted application. Submissions can be returned via: Fax: 913-322-8498 Email: TradeRelations MedTrakRx.com Step Three: Mail: MedTrakRx Attn: Trade Relations 10895 Lowell Ave. Suite 100 Overland Park, KS 66210 Please include the following required documentation with your application for consideration. Copy of Certificate of Liability (minimum $1million occurrence/$3 million annual aggregate.

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