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Committed to the Federal Workforce

Vision Insurance Enrollment

If preferred, download and complete the Vision Application to return via fax, mail or email.

Fax: (410) 846-6420 | Email: geba@geba.com | Mail: GEBA, 1362 Mellon Road, #100, Hanover, MD 21076

General Information

First Name

Middle Initial

Last Name

Gender

Male
Female

Marital Status

Married
Domestic Partner
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Widow/Widower
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Date of Birth

Email

Home Phone Number

Work Number

Cell Phone Number

Address 1

Address 2

City

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Zip Code

By providing your email address to us, you expressly consent to receive emails from us. We may use email to communicate with you, to send information that you have requested or to send information about other products or services developed or provided by us, provided that, we will not give your email address to another party to promote their products or services directly to you.

1362 Mellon Road, #100
Hanover, MD 21076

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Get in Touch

We’re available by phone:
(800) 826-1126
M–F 8:00 a.m.–4:30 p.m. ET.

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Securities are offered through Cape Securities, Inc. Member FINRA, SIPC Investment Advisory Services are offered through Cape Investment Advisors, Inc. 1600 Pennsylvania Avenue, McDonough, GA 30253 –
Tel: (678) 583-1120

GEBA Financial Advisors are Registered Representatives of Cape Securities, Inc.

For information about our Wealth Advisors, please visit Broker Check.