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Dealer With A Retail Lot

Call or Submit the Below Quick Form
              770-974-0670  Office

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Complete Our Quick Form Below “DEALERS WITH A PHYSICAL LOT”


Dealer with a Physical Lot - Complete the Following (Industrial or Office Complex Lots Not Allowed)

Full Name(Required)
Mailing Address(Required)
Dealership Address(Required)
What Type of Coverage Would You Like Quoted? Select All that Apply
Driver #1 Legal Name as appears on License(Required)
MM slash DD slash YYYY
Driver #2 Legal Name as appears on License
MM slash DD slash YYYY
Driver #3 Legal Name as appears on License
MM slash DD slash YYYY
Driver #4 Legal Name as appears on License
MM slash DD slash YYYY

(Please Note: If your Dealership does not have a "Physical Lot" located off of a main road, return to the Quote Screen and select Dealer Without a Lot. Sorry, industrial complex offices does not quality for this program as a lot.)


I have provided all of the above information for insurance purposes and I state all information is true to the best of my knowledge. I also understand that I am to discuss with the agent at D. Ward Insurance my desired limits and coverage.
By typing my name warrants my signature.(Required)


After you have sumitted your quote request, we will start working on your quote and we will help assist with obtaining your claim history. The insurance carriers require us to show prior proof of coverage along with claim history. Thank you for your time and we will be in touch with you today unless this is after hours or on the weekend.


Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.  Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company.  If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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