C & J Financial : an affiliate of Security National Life Ins. Co.

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C & J Financial, LLC

New Accounts

Sign up today for C&J's FUNERAL FUNDING Insurance Assignment program and receive a 2.9% discount rate on all your insurance assignment cases for the first 30 days! (Available only for new accounts, not available with any other offers) Sign up today to eliminate the hassle, headache and cash flow delay in processing insurance death claims!

Full Name:
Funeral Home/Cemetery:
Address:
City:
State:
Zip:
Phone Number: (xxx) xxx-xxxx
Fax:
Email address:
Authorized Contact Personnel:
Business Tax ID Number:
Type of Business: Corporation
LLC
Partnership
Sole Proprietor
State Issued Funeral Establishment License Number:
(please fax a photo copy of state issued license to 866.785.0030 or email to fastfunding@securitynational.com)
How did you find out about us? Referred by:
Additional Information or Requests:
Check Preferred Method of Payment: ACH Deposit: Funds are deposited into your business account usually available for next day credit. No charge for ACH Deposit.
Direct Wire Transfer: Funds are wired to your business account available for immediate use. Bank wiring fee applies.
Overnight Check: Check is sent overnight for next day delivery via UPS or FedEx. Overnight delivery fee applies.

If your firm desires ACH or Direct Wire payment we will need a copy of a voided check on your business account for routing information. You can fax the bank information to C&J toll free @ 1.866.785.0030.

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