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Please allow my agency the opportunity to save you money on insurance cost by filling out this quick survey.
George Torres Insurance Agency, LLC
512-998-7511
404 North Austin Street Buda, Texas 78610
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1.
What is your First & Last name?
(Required.)
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2.
What is your Date of Birth?
(Required.)
DOB
Date
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We
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3.
Please provide your mobile phone number.
(Required.)
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4.
What is your home address? (include ZIP)
(Required.)
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5.
Do you own your home?
(Required.)
Yes
No
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6.
What is your email address?
(Required.)
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7.
Do you have a student or driver under the age of 24 years old in your household?
(Required.)
Yes
No
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8.
How much do you pay per month for auto insurance?
(Required.)
under a $100
$101-$200
$201-$300
$301-$400
$401-$500
$501 and over
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9.
What types of Insurance Quotes are you interested in?
(Required.)
Auto
Home
Life
Commercial
Health
Medicare/Medicaid
Recreational Vehicles
Renters
Landlord/Real Estate
