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SMALL BUSINESS INSURANCE QUOTATION FORM

To help us supply you with the most accurate quote possible, please answer as many questions as you can with the most accurate information available to you. Information submitted will be held confidential and will be used for quote purposes only. Submission of application information in no way obligates you to purchase any product or insurance, nor does it represent any agreement to provide coverage under any insurance policy.
Auto Insurance New York Karis and Karis
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Personal Information

Full Name *

Your Company
Address
City
State
Zip

Business Phone Number *
Cell Phone

Email Address *
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Current Insurance Information

Company Name (not agency)

Policy Expiration Date
Premium Amount

Years Insured


About Your Business

Number of employees
Years in business
Number of locations
Annual Sales

Detailed description of your business



Property Questions

Do you own your building? Yes No

Building Replacement Value
Replacement value of contents

Do you have company vehicles? Yes No
If Yes, how many?


Message or Comments


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Commercial Insurance Business Insurance New York Karis and Karis
Directions to Karis and Karis Insurance Agency
Auto Insurance
No previous coverage necessary
Multi-policy discounts
Bad or no credit
Bad driving record
Auto Insurance

Homeowners Insurance
High Value
Coastal
Tenant Occupied
Vacant
Up to 6 Family
Homeowners Insurance

Business/Commercial Insurance
Apartment Buildings
Contractors
Gas Stations
Deli's
Restaurants
Business Owners
Business/Commercial Insurance

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