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Type of insurance
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Personal
Commercial
Group Benefits
Product you’d like a quote for
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Auto & Recreational
Home & Property
Life & Travel
Product you’d like a quote for
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Group Benefits
Group Savings
Key Person Insurance
Critical Illness
Disability Insurance
Life Insurance
Sub-Product you’d like a quote for (Auto & Recreational)
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Car Insurance
Collector Car Insurance
Luxury Car Insurance
Motorcycle Insurance
Boat Insurance
Off-Road Vehicle Insurance
RV, Motorhome & Trailer Insurance
Sub-Product you’d like a quote for (Home & Property)
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Home Insurance
Condo Insurance
Course of Construction Insurance
Luxury Home Insurance
Strata Deductible Insurance
Tenant Insurance
Equine Insurance
Farm Insurance
Firearm Insurance
Cyber Insurance
Pets Insurance
Investment Property Insurance
International Property Insurance
Seasonal Property Insurance
Valuables & Collections Insurance
Sub-Product you’d like a quote for (Life & Travel)
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Life Insurance
Individual Health Insurance
Critical Illness Insurance
Disability Insurance
Employee Benefits
Travel Insurance
Adventure Travel Insurance
Commercial insurance you'd like a quote for:
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Common types of insurance include: professional liability insurance (E&O), commercial auto, commercial property, commercial general liability (CGL), special event or hole in one, bonding and surety. If you’re not sure, don’t worry, our brokers can help you determine which coverage your business needs.
Industry
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Construction
Manufacturing
Natural Resources
Transportation
Realty
Small Business
Agriculture
Technology
Hospitality
Firearms
Fine Art & Jewelry
Other
Please specify industry
Annual Revenue
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0 – 1,000,000
1,000,001 – 2,500,000
2,500,001 – 5,000,000
5,000,001 – 10,000,000
10,000,001 – 20,000,000
20,000,000+
Company Name
*
Number of Employees
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1 – 5
6 – 10
11 – 20
21 – 50
51 – 100
101+
Name
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First
Last
Phone
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Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Email
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Postal Code
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Additional Comments
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