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Providing the professional services you need at affordable prices. Locally owned and operated since 1993.
The information below is needed for a quick quote
C J & Associates Insurance Agency, Inc.
770-443-1978


Complete address of location to be insured_______________________

Name of business____________________ 

Building value (if you need to insure building) ______________ Sq Ft.____________

Contents value ______________

Construction type of Building _________________(brick, frame, metal)

Yr Built___________

Any losses in the last 5 yrs___________

If yes, what type and date of loss_____________________________

Any protection devices_________________________(fire, theft alarms)

What type of business__________________

Currently insured______ With______________

Your contact phone number or email_____________________

Name______________________

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