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Copyright © 2003-2006. All rights reserved.
Revised: December 04, 2006 .

Most insurance situations are unique and to properly represent your needs.  As such, our approach is more personalized and accurate. 

 

Address:
City:
State:
Zip:
Currently insured with:
Type of home:
Year Built:
Construction Type:
Type of Roof:
Square feet:
Number of fireplaces:
Number of bedrooms:
Number of bathrooms:
House has central air?:
Electrical system:
Garage Type:
Do you have a pool?:
Purchase price or replacement cost:
Located in brush hazard?
Equipped with smoke alarms?
Equipped with deadbolts?
Equipped with auto fire sprinklers?
Equipped with a theft alarm?
Equipped with a fire alarm?
Located in gated community?
Distance to a fire station
Distance to fire hydrant
Type of residence?
Current policy expires in
Any claims in the past 5 years?
Liability Coverage
Medical Payments
Deductible

 

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"Insurance for working people since 1986"

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215-726-1605 (City) 610-623-8710 (Suburbs)  610-623-1149 (Fax)

819 East Baltimore Avenue
   Lansdowne, PA 19050


 

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