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These quotes are only good for 30 days and you must qualify under the company's underwriting criteria.

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Please answer all the questions completely. The information will automatically be sent to us.

Your Full Name
Street Address
City
State
Zip
County
Email address to send information

Date Of Birth
Social Security Number
Spouse's Full Name
Date Of Birth
Social Security Number
Amount of Home
Extra contents ( if amount is over 50% of home amount )
Extra Outbuildings ( if amount is over 10% of home amount )
Extra Liability
Phone number where you can be contacted
Best time to reach you
Do you own your own home rent
Is this a condominium or townhouse unit Yes No


Archer Insurance Agency
118 East 5th Ave.
Garnett, KS 66032-0307

Phone:785-448-3841
Fax / Answering Machine: 785-448-3692
Email: doug@darcher.com