Protecting Growing families is our business

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EXPRESS Quote Licensed States: Kansas, Illinois, Missouri

800-921-4501

jdavis@ciains.info


EXPRESS Quote Information


1st Insured Coverage 
First Name  Last Name Telephone
Address  Apt Cellular    
City  State   Zipcode  Maternity
Smoker Pre-Existing Conditions  DOB   Sex Email
Insure Company  Deductible

2nd Insured  
First Name  Last Name Telephone
Address  Apt Cellular      
City  State   Zipcode   Maternity
Smoker Pre-Existing Conditions  DOB   Sex Email

3rd Insured  
First Name  Last Name DOB     Sex 
4th Insured   
First Name   Last Name  DOB     Sex 
5th Insured  
First Name  Last Name DOB     Sex 
6th   Insured   
First Name   Last Name  DOB     Sex 
7th   Insured  
First Name  Last Name DOB     Sex 
8th Insured   
First Name   Last Name  DOB     Sex 


A person will contact you after your information is aggressively reviewed for our best rate.

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Contact us for your personal insurance, business insurance and financial planning needs.

Sincere Regards,
James Davis
Your PERSONAL agent