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ECG Home/Rental Quote
Thank you for your interest in Edmond Consulting Group, LLC (ECG). We look forward in doing business with you with competitive prices. Please submit any current or previous declaration page by fax (803) 234-5004 or email us at
getaffordablecoveragetoday@gmail.com
.
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
COUNTY
*
Your answer
Phone number
*
Your answer
Martial Status
*
Single
Married
Widow
Domestic Partner
Spouse Name
Your answer
Type of Ownership
*
Rent
Own
DO YOU OCCUPY PROPERTY?
*
Yes
No
PROPERTY COVERAGE DO YOU NEED (Estimate Value)
*
Your answer
Date of Occupancy
*
MM
/
DD
/
YYYY
Any Loss in the past 5 years?
*
Yes
No
# OF OCCUPANTS
*
Your answer
FIREPLACE
Yes
No
Clear selection
ALARM SYSTEM
*
Yes
No
MONITORED BY
Your answer
Pets
Yes
No
Clear selection
Comments
Your answer
ECG Partner Name
Your answer
Please visit our website
www.consultwithedmond.com
.
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