The Region's Cutest Pet Contest
Winners are determined based on post "likes" only (different from prior contests). Winners will be announced on November 25th. Residents of IN & IL only.
What is your pet's name?
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ONE ENTRY PER PET - Do not list multiple pet names
Pet Picture
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ONE PICTURE PER PET
If you attach more than one picture, it will not be posted. If you enter your pet multiple times, all entries will be removed. If there are more than one pet in a picture, it may be removed. One pet per picture and one picture per pet.
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Your Name
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First Name
Last Name
Your age (21+ only)
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Some of our contests include alcoholic prizes.
Cell Phone Number
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We will text confirmation and contact you at this number if your pet is a winner!
Address (to send BarkBox prize)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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We would love the opportunity to earn your business! Would you be willing to have a conversation about your insurance?
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Yes, please!
No, thank you.
Current Client
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What type(s) of insurance would you like us to quote for you?
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Auto
Home
Renters (you rent your home)
Motorcycle / ORV / Golf Cart / Boat
Other
How old is your roof?
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How much would you need to replace all of your belongings (furniture, clothes, electronics, appliances, etc)?
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This will be your personal property coverage. Minimum of $15,000
How many drivers are on your current policy?
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How many vehicles are on your current policy?
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Please list vehicle(s) year/make/model(s), driver names and birthdays, and any other info we'd need to quote your policies (tickets, accidents, SR22, etc).
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LAST PAGE!
NOT REQUIRED: If you have screenshots or PDFs of declarations pages showing your policy coverages, please upload those here. We will provide a side-by-side comparison for your quotes.
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