Paul Hanson Partners - REQUEST A QUOTE

REQUEST A QUOTE
YES, I WANT TO LOWER MY INSURANCE PREMIUMS!

PLEASE PUT MY EFFECTIVE DATES ON YOUR CALENDAR
AND GIVE ME A CALL 90 DAYS PRIOR
TO MY EFFECTIVE DATE!

COMMERCIAL INSURANCE EFFECTIVE DATE:

COMMERCIAL INSURANCE COMPANY:

WORKERS' COMPENSATION INSURANCE
EFFECTIVE DATE:

WORKERS' COMPENSATION INSURANCE
COMPANY:

YOUR NAME:

EMAIL:

COMPANY:

PHONE#:

TITLE:

FAX #:

ADDITIONAL
INFO:

Just Fax This To: (707) 252-5905
Or Call: (800) 852-1968
email to: insure@paulhanson.com

HAVE A PROFITABLE YEAR!!!