Exchange Insurance Agency Inc. Hotel Form

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620-449-2202
800-697-1656

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Exchange Insurance Agency Inc.
718 Central, PO Box 218
St. Paul, Kansas 66771
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Altamont Office

Phone: 620-449-2202
Fax: 620-449-2205
Toll Free: 800-697-1656
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Hotel Insurance Quote
Corporate Name:
DBA Hotel Name:
Contact Name:
Contact Email:
Contact Phone:
Tax ID Nmber:
Franchise ID Nmber:

Hotel Address 1:
Hotel Address 2:
City:
State:
Zip Code:
Hotel Fax:
Hotel Phone:

Number of Roooms:
Number of Stories:
Pool on Site:
Sprinkler System:
Monitored Alarm System:
Electronic Key Cards:
Type of Construction:
Type of Roof:
Year Built:
Building Value:	$
Contents (FF&E) Value:	$
Annual Gross Sales:	$
How did you hear about us?
Comments/Notes:
Note: By submitting this form you understand that no coverage is bound until you receive written notice. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.

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Hotel Insurance Quote