Personal Lines Update

The purpose of this survey is to help us keep the information in your file up to date. We will use this information to help us recognize your changing needs. Our goal is to offer you the best coverage and to help you take advantage of discounts you are eligible for. 

Name *
Phone Number *
Phone Number
Cell Phone
Phone Number
Phone Number
Home Phone
Second Insured
Phone Number
Phone Number
Cell Phone
(Such as AARP/AMAC)
(If yes, what have you added?)
(What kind of roof? Asphalt, Metal, Wood.)
Do you have a fireplace? *
Do you have a wood stove? *
(If yes, what percent is finished?)
(Such as jewelry, artwork, collectables, guns, etc.?)
(If yes, what type of business?)
(If yes, what breed?)
(If yes, what type?)
(If yes, is it above or below ground?)
Do you have a trampoline? *
(If yes, does it have a locked gate?)
(If yes, which drivers?)
Do you use your car for business? *
(Such as a boat, scooter, golf cart, ATV, snowmobile, etc.)
Do you have a company car furnished for personal use? *
(If yes, would you like someone from Snyder to contact you: email or phone. Please offer any suggestions of how we could improve our service.)