Partner – M&P Residential Form

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Name of Agent Submitting quote
Which Agency should this be written under?

Insured Infomraiton

Primary Policyholder's Name
Additional Policyholder's Name (if any)

Now, let's get some specific details about the property you want to insure.

Property Address for Coverage
Is your mailing address the same as this property?
Is your property currently under construction or planned to be built?
Deductible
Do you need insurance for other structures on your property?
How many floors above ground does the building have? (Do not include the basement.)
If you’re unsure about your flood zone, simply select Zone AE, and your flood nerd will verify your correct flood zone for you. This ensures you get accurate coverage without the guesswork.
Please share any other details or notes about your property that you think are important for your insurance coverage.
Click or drag files to this area to upload. You can upload up to 10 files.
Please upload any relevant documents or images here. This can include photographs of the property, architectural drawings, an Elevation Certificate, documentation of your flood zone, lender correspondence, prior insurance policies, or any other pertinent information.
I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.
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JULY PROMOTION

Enter to Win the Ultimate Emergency Preparedness Radio!

  1. Shop Your Flood Coverage: Provide us with the opportunity to shop for your flood insurance coverage.
  2. Get a Free Quote: Receive a personalized flood insurance quote.
  3. Automatic Entry: Once you confirm you have receive your quote, you’ll be automatically entered into our drawing.
Promotion Emergency Radio

About the Prize:

Ultimate Emergency Preparedness Radio:

  • Hand Crank and Solar Powered: Never worry about running out of battery with multiple power sources.
  • 2000mAh Power Bank: Keep your phone charged during emergencies.
  • AM/FM/NOAA Weather Radio: Stay informed with up-to-date weather alerts.
  • 3 LED Flashlight: Illuminate your surroundings in low-light conditions.
  • Compact and Portable: Perfect for camping, survival kits, and emergency preparedness.

 

Why Shop Your Flood Coverage with Us?

  • Expert Guidance: Our Flood Nerds are here to help you find the best coverage at the most affordable rates.
  • Free Services: Take advantage of our complimentary flood zone determination.
  • No Obligation: Getting a quote doesn’t commit you to purchase.

Terms and Conditions:

  • The promotion runs from 7/1/2024 to 7/30/2024.

  • One entry per household.

  • Property must require flood insurance and or you must intend to purchase a policy.

  • The winner will be selected randomly and notified via email.

  • No need to purchase from us to win.