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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

Non Profit Business Insurance Quote
First & Last Name:  
Business Name:  
Street Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
 Fax:  

Current Insurance Information
Insurance Company Name:  
Any Losses in last 3 yrs?:  
Premium Amount:  
Policy Exp. Date:  
Describe the Type of Coverage
you Currently have:
  

About Your Business
# of Full-time
# of Part-time
Yrs. in Business
# of Locations:
Yr. building built
Sprinklered?
Annual Gross Sales
Square Footage?
Building Type:  
Type of Business:  
Owned Autos:  
Est. payroll / mo.:  
Please describe your business here:  
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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