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Client Testimonial

"You just saved me 30% on
my auto insurance. Thank you!"
- Paul Johnson, FL

Ideal Insurance Inc
6113 B Clark Center Ave,
Sarasota, FL 34238

Phone : (941) 921 2102
Fax : (941) 921 2029
E-mail : generalmail@idealinsinc.com

Name	*
Home Phone	*
Work Phone
Email
DOB
Dwelling Type
Property Address	*
City	*
Zip Code	*
County
Coverage Effective	*
Prior Carrier
Occupancy Use
Dwelling Coverage Amount
Deductible Amount
Personal Liability Amount
Any claims
Living Area Square Feet
How many stories
Frame Type
Roof Type
How old is the roof
Wind MitigationYesNo
Hurricane ShuttersYesNo
Roof Shape
Garage
Garage Size
Burglar AlarmYesNo
Alarm MonitoredYesNo
Fire AlarmYesNo
Fire Alarm MonitoredYesNo
Swimming PoolYesNo
Pool FencedYesNo
Screened CageYesNo
Diving BoardYesNo
SlideYesNo
Currently carrying flood insuranceYesNo
Expiration Date
I am interested in (check one or more): increased productivity reduced overtime lower fuel costs Accurate Time Sheets reduced private use faster response times reduced communication costs increased security other (please specify):