11/22/2008 02:47:12 AM
359 Washington Street - Brighton MA 02135 | Tel 617-787-4205 | Fax 617-787-4329
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Automobile Insurance
We have the most competitive auto insurance programs around.
Homeowners Insurance
Brighton Insurance offers competitive homeowners insurance programs.
College Insurance
Brighton Insurance offers several programs for college students.
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Request Business Insurance Quote
No coverage is bound until you are contacted by one of our representatives
Business Insurance Quote
Name
Business Name
Street Address
Street Address
City, State, Zip
Phone Numbers
Home
Work
Email Address
Business Activities
1.
Type of organization
Corporation
Individual
Limited Liability Corp.
Non-Profit
Partnership
'S' Corporation
2. How many owners, partners, or officers?
3. How many employees, excluding owners,
partners or officers?
4. How many years have you been in business?
5. Last year's payroll:
6. This year's projected payroll:
7. Last year's gross sales:
8. This year's projected sales:
8. Describe your normal business activities
9. Have you had losses or claims in the past 5
years?
Yes
No
If yes, please give description, date and amount paid for each
Coverage Selection
Please indicate the desired coverage you would like quoted
.
General Liability
Crime
Property
Workers Comp
Equipment
Boiler & Machinery
Builder's Risk
Garage and Dealers
Remarks
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For information please contact:
Joe Eldridge
Customer Service
