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Homeowners Quote Request:
Call us today for your free insurance quote (910) 392-5173
PO Box 11325 - Wilmington, NC 28404
Copyright - 2006 Samuel J Davis
Davis Insurance Group is a trade name used by two different agencies. P&C Products offered through Davis Insurance P&C LLC. Life, Health, Long term Care and Medicare supplement products offered through S.J. Davis
& Associates. We are licensed to sell insurance in North Carolina and South Carolina. Do not cancel any insurance product until you have a replacement policy in place and paid for.
YOUR CONTACT INFORMATION:
(Please Answer All Questions)
*Name:
*E-mail Address:
Work Phone:
Home Phone:
*Current Policy Expiration Date:
*Occupancy Type:
At This Address Since (Date):
INFORMATION ON RESIDENCE TO BE QUOTED: Location
Address:
City:
State:
Zip Code:
Dwelling Type:
*Requested Deductible:
Replacement Cost of Your Home:
*Requested Personal Liability Coverage:
*Home Square Feet:
*Year Built:
*Construction Type:
Foundation Type:
*Garage Type:
*Fire Hydrant Location:
Distance to Fire Station:
Check here for flood quote:
Once you push the submit button, your information will be submitted to our office.