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563-652-6994 or
800-856-6995
Meinecke-Richards Agency, Inc
IIAA Iowa
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Meinecke-Richards Agency, Inc
801 West Platt St, PO Box 1206
Maquoketa, Iowa 52060
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McAleer-Allen Insurance

Phone: 563-652-6994
Fax: 866-593-7850
Toll Free: 800-856-6995
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Online Quote Form


Flood Insurance Quote Form

First & Last Name:  
Street Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
 Fax:  
 

Current Insurance Information
Insurance Company Name:  
Policy Exp. Date:  
Amount Insured for:  
Mortgage Amt:  
Premium Amt:  
Term:  
Any Claims in Last 3 years?  
 

General Information About Home:
Year home built:  
Total Square Feet:  
Yrs @ present address:  
Home Type:  
Home Construction:  
Flood Zone?:  
Garage Type:  
Elevation ?:  
Garage:  
# of Bedrooms:  
# of Fireplaces:  
# of Bathrooms:  
Exterior:  

Dwelling Deductible:  
Contents Deductible:  
Dwelling Coverage:  
Contents Coverage:  

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Note: By submitting this form you understand that no coverage is bound until you receive written notice. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.


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