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Fitness Location Proposal

To receive a proposal please complete the information below. Once submitted, our team will reach out to schedule a call to discuss your needs and any questions you may have.

We’re Right Here Beside You, ready to help with all your insurance needs – life planning, personal protection, and protecting your business.

Entity Name*

Main Contact Name*

Phone Number*

Email Address*

How did you hear about us?*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Location/Physical Address (if different):

Street Address Address Line 2 City State ZIP Code

Any Property? If so, square footage:

Do you have a website?

Tax ID:*

Number of years you have had this business:*

Tell me what you do, daily, in your business:*

Your Years of experience doing this work:*

Number of employees:*

Number of owners:*

Owner(s) Date of Birth:*

Owner(s) Driver License Number:*

Total Annual Estimated Payroll:*

If payroll is UNKNOWN, how much work do you plan to take on this year?

How do you plan to pay your employees?

Do you hire any subcontractors? If so, how much will you pay those subs this year?

Sales Revenue:*

What states do you work in?*

Do you have current coverage? If so what carrier?*

Any prior claims/losses?*

Entity type (LLC, Corporation, LP, Sole Individual):*

I would like more information on EARTHQUAKE coverage as it is not included in the base package.*

Yes

I would like more information on FLOOD coverage as it is not included in the base package.*

Yes

I would like more information on CYBER coverage as it is not included in the base package.*

Yes

Please note coverage cannot be bound or changed by email, voicemail or website submissions and is not effective until confirmed by a licensed agent.

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Customer Reviews

 5/5

Staff customer service is A++

Juanita W F

 5/5

Just good hometown folks that treat you as they would like to be treated

Jamie J

 5/5

They’re always so helpful and courteous

Teresa K

 5/5

He helped set up a policy that is saving me over $50 per month on my auto

Sarah B

 5/5

I am recommending Trey Siner Insurance Group to everyone!

Linda C

Commercial New Business