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- Earthquake / Flood

HOMEOWNER'S INSURANCE QUOTE QUESTIONNAIRE

Sather's InsuranceService requests that you complete the information listed below. Sather's will return a quotation within 24 hours. If you allow up to 30 hours for a quotation, this will allow Sather's to properly process your information and receive more competitive quotes.

All fields are required in order for your quote to be processed.

HOMEOWNER	*ALL FIELDS REQUIRED
Name of Property Owner:
Address of Property:
City:
State:
Zip Code:
Phone:

HOME iNFORMATION	*ALL FIELDS REQUIRED
Square Footage of Property (Please Include Garage):
Year of Construction:	ie.12/06/05
Swimming Pool:	No Yes
Liability and Other	*ALL FIELDS REQUIRED
Limited Liability Requested:
Would You Like Sather's Insurance to Include EARTHQUAKE Pricing?	No Yes
Would You Like Sather's Insurance to Include FLOOD Pricing?	No Yes

Do you have a current policy with someone else	No Yes

If Yes:
My Current Policy is with:
My Policy will Expire on:

Please Send Me My Quotation via Email:

I would like to have Sather's price this policy every:

Email Address of Account Holder

For Quotes involving more than one property location,
please contact one of our agents at 1-800-4SATHER.