Refer me

We would be happy to contact you to answer questions and provide you with information. All you need to do is complete the following form. For security and confidentiality reasons, take care not to enter any personal information other than that which is requested.

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I’d like to refer your services to:

Ms. Mr.

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Last name*

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Type of insurance *

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evening

weekend

I don’t know

Referred by:

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Comments

The information provided will be used to follow up on the contact request. A damaged insurance agent will contact this person to complete an insurance quote based on his or her needs and to offer competitive rates.

Contact Information

Assurances Paul Philip Landry inc.

Damage Insurance Agency

7 chemin de l'Oseille
Sainte-Anne-des-Lacs QC
J0R 1B0

1 855 747-7711

1 866 833-0333