Reserve the OCI Mobile Marketplace RV

Please use the form below to request the OCI Mobile Marketplace for your town or city. After you submit the form, we will contact you with more details on availability, etc.

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* Contact Information

Name: *

Agency or Business: *

Address:

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* Please select a date/time for your Mobile Marketplace event:

Date Requested:

Date

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* Where would you like to take the RV?

Park it outside agency or business

Grocery or other store

Other (please specify)

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* OCI/Carrier Appointments/Marketplace Certification

I verify I am Marketplace certified and appointed through OCI to write policies for BCBSNE, UHC, Medica, and Bright Health.

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* RV Pickup and Drop Off

I would like to pickup and drop off the RV at the OCI office in Omaha

I would like assistance getting the RV to my location (dependent on driver availability)

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* How will you be promoting your event?

Newspaper ad

Local flyers around town

Radio ad

Social Media

Not Applicable - This is for a private event

Other (please specify)

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* Other Notes:

* Please note that we will do our best to schedule you for your desired date and time, but certain days may not be available or we may not have an account executive available if you require OCI assistance for your stop. All RV requests must be approved by OCI management. We will contact you promptly to inform you of availability. Thank you for your understanding.