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Church & Non-Profit Commercial Package Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Church or Organization Contact Information
First Name
Required
Last Name
Required
Contact Title
Optional
Primary Phone Number
Required
Alternate Phone Number
Optional
Fax #
Optional
Best Time To Call
Optional
E-Mail Address
Required
Property Location
Name of Ministry or Non-Profit
Required
Street
Required
City
Required
State
Required
ZIP / Postal Code
Required
Current Information
Current Insurance Carrier
Optional
Policy Expiration Date
Optional
/ /
Claims/Property Losses in Past 5 Years (Please Explain)
Optional
Additional Information
Own/Rent Facility
Required
Square Footage of Location
Optional
Business Type
Optional
Denomination
Optional
Approximate Attendance
Optional
Church/Non-Profit Website
Optional
Daycare or School?
Optional
Number of Vehicles
Optional
Any Vans or Buses? What Is the Passenger Capacity?
Optional
Which of the Following Coverages Do You Have?
Optional


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Do Your Pastor's Have Housing Allowances?
Optional
Do You Have 403B's or 401K's In Place?
Optional
How did you hear about us?
Optional
Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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11709 New Hampshire Ave | Bakersfield, CA 93312 | FAX 619-390-8344