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Business/Commercial Insurance Quote

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To get a quote from The Murray Insurance Agency, simply fill out the Business/Commercial  Insurance Quote form below.  We will contact you shortly after you submit your information.

This form is for a quote for business/commercial insurance only.

The Murray Insurance Agency is licensed only in the State of Kentucky.

* indicates required information
 

Company*

Contact Person*

Company Address*

City*     State*     Zip*

Phone*

Fax

E-Mail*

Effective Date of Insurance*

Description of Business*

Years in Business*

Current Insurance Company

Type of Insurance*

Have you had any prior losses?

Questions/Comments:

Please note that this form is for a request only.  By submitting this form it does not bind coverage in any way.  If you do not hear from us in a reasonable amount of time, assume we did not get this request for an insurance quote, and call our office.

I understand that filling out and submitting this form DOES NOT bind coverage in any way, and the only way coverage can be bound will be when I am informed of a binder or policy is issued by the agent representing me.

I have read and agree with the above disclaimer (it is mandatory to check box before request can be sent).


 

 

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