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     Billmark's Lakes Area Insurance, Inc. • 320-763-9022 • 888-763-9022      ABOUT US | CONTACT US | HOME
       
 

   
  Billmark's Lakes Area
Insurance Inc.
913 Broadway Street
Alexandria MN 56308
888-763-9022 toll free
320-763-9022 phone
320-763-3548 fax
 
 
  Lakes Area Insurance
105 Central
PO Box 567
Brandon MN 56315
320-524-2525 phone
320-834-2409 fax
  
Disclaimer: Coverage is not binding until you receive a confirmation call from our agency. If you do not hear from us within one business day of your request, please call us at 320-763-9022 or toll free at 888-763-9022.

GENERAL INFORMATION
Communication Type: Change   Inquiry
  Effective Date:
Policy Number:
Your Name:
Email:
Day-time Phone:
Fax:
How to Proceed?: Call me to discuss my Policy See Below Information

CHANGE MORTGAGE OR OTHER INTEREST
Choose Action: Add   Change   Delete   N/A
Loan #:
New Mortgage:
Escrowed: Yes   No
Address:   (Line 1)
  (Line 2)
City:   State:   Zip:
Interest: None   First Mortgage   Second Mortgage   Line of Credit
Describe Interest and Change:

FLOATER COVERAGE
Type of Change: N/A   Add   Increase   Delete
Floater Type: Jewelry   Recreational   Computers   Other (describe)
Describe Item(s) and Change:

PLEASE CONTACT ME ABOUT:
Auto
Home Business Coverage
Coverage limit on home, contents, etc.
Deductible Options
Sewer and Water Backup
Special Contents Coverage
Umbrella Liability

ADDITIONAL REMARKS/COMMENTS:

     
 


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