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Taylor Group Of Companies
Ottawa: (613) 723-4730
Fax: (613) 723-4733
Toll Free: 1-800-203-3283
Canada & U.S.A.
Taylor Group Ottawa Ontario
Homeowners Insurance Quote Request - Group Plan: Tony Graham Lexus Toyota

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Contact Information: 
Name: *

 Address:
Telephone: *
 (ex: 999-999-9999)
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My auto insurance expires on (mm/dd):

 Comments:
My home insurance expires on (mm/dd):
Homeowner(s)' / Property Information: 
What are the ages of the homeowners' (for discounts)? * What year was the home built? *
1  2 
What was the purchase price of your home? *
$  		Does your home have a woodburning stove? *
Yes No
What value is your home currently insured for? *
$  		Does the house have an alarm system? *
Yes No
What is your current insurance deductible? *
$  		If yes, is it:
What type of home do you live in? *
Insurance Information: * 
Have you had any claims? * Yes No
If yes, Please explain (nature of claim, date):
Does anyone in the household smoke? *
Yes No
Do you have a mortgage? *
Yes No
How many years have you had continuous insurance?

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 Commercial Auto Insurance Ottawa Ontario
Taylor Group Ottawa Ontario
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