5 Reasons Why You Should Use Our Insurance Services:
1. Excellent coverage at very competitive prices.
2. FAST online quotations for auto, homeowners, and life, and INSTANT quotes by phone.
3. Low down payment & Easy monthly installments on most policies.
4. Our service is second to none. Call us and get an agent who really CARES!
5. We offer a satisfaction guarantee. We know our top quality coverages and service will SATISFY you!
Remember... "All Our
Policies Come With
an Agent!"
Clemmons Insurance Agencies has helped thousands of Georgia, Tennessee, South Carolina, and Missouri residents and businesses find the lowest rates available and the best insurance plans to protect their cars, homes, businesses, and families. Let us do the same for YOU! Our office includes a state-of-the-art computer system for policy services, claim servicing and accounting so that quality service is GUARANTEED. Your needs will be addressed, phone calls returned, and coverage issues responded to, and claim matters will be addressed...WITHIN 24 HOURS!
Spouse's Information: (Leave Blank if you do NOT want Spouse Coverage)
Name of Spouse:
Enter Spouse's Birthdate:
Sex (M/F):
Do You Smoke?:
Spouse Height:
Spouse Weight:
Coverages:
Amount of Coverage Desired?
Type of Life Coverage Desired?
TERM = Pays death benefit only - This is lowest cost for coverage.
UNIVERSAL LIFE = Has savings aspect in addition to providing death benefit.
OTHER = Would be mortgage protection, whole life, no-exam life, etc.
Years of Level Premium, if selecting term life.
List Any Health Problems:
Reason for Buying Life Insurance:
Send my quotation via:
E-Mail Fax Regular Mail
Call Me by Phone
Thank you for filling out this form
COMPLETELY!
We value your input as PRIVATE information. Every step has been
taken to insure your privacy, security, and our intent is to release quote information only
to you. We will not give your data to ANY other person or group for sales, marketing,
or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to
release us from any liability should this information be accidentally viewed by others.
Our intention is to maintain your complete privacy.
Yes, I Agree.
Please Send Me a Life Insurance Quote NOW!
Help Us Fight SPAM! Please enter the code#
below in the box, to show you are human!