Contact Information Advantage Administrators PO Box 118 100 Second Street SW Waverly, Iowa 50677-0118 Phone: 319.352.1623 800.383.1623 888.705.0608 - Automated Flex Hotline Fax: 319.352.4018 or 319-352-2610 Email: Cafeteria Administrator: customercare@advantageadmin.com Retirement Administrator: penadmin@advantageadmin.com Marketing & Sales: cafeteriasales@advantageadmin.com Enrollment Enrollment and Re-enrollment Information Request Form I would like to have a representative come and assist with our enrollment Date   Time   I need some additional enrollment brochures (No Charge) Qty   I need Cafeteria plan SPDs ($1.00 ea) Qty   Name:    Company:    Address:     City:    State:    Select one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip:         HomeFormsFlex AdvantageHRA AdvantageRetirement AdvantageTestimonialsContact UsTake Care MyflexEFlex © 2010 Advantage Administrators - all rights reserved Website designed by