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Salon or Barber Shop Quote Form


Contact Information
Business Type(Required)

Business Address(Required)
What Would You Like Quoted (Check All That Apply)(Required)

General Liability Information
Describe Your Operation(Required)
Salon, Barber Shop, School, etc
Fill in Below or Enter 0
Does a Doctor or Licensed Practitioner Preform Any Type of Service at the Salon or Shop?(Required)
# of Employees or 1099s
Fill in the Number of People or Enter 0
Estimated Annual Gross Sales

Building & Property Information
Where is the Salon or Shop Operating(Required)


Workers' Compensation Information

Insurance
Do You Currently Have Insurance(Required)
MM slash DD slash YYYY
Any Claims the Past 3 Years(Required)

Special Note
If insured, we are required to obtain a copy of your current policy and loss history.

How can we help you?

Our goal is to make insurance purchasing as simple as possible by taking the frustration out of buying.

Call Us 770-974-0670

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