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I am interested in receiving more information regarding the following products/services:

Comlimentary Insurance Review:

Auto Insurance

Property Insurance

Boat Insurance

Recreational Vehicle Insurance

Historical Vehicle Insurance

Motorcycle Insurance

Flood Insurance

Motor Club Insurance

Personal Liability Insurance

Specialty Insurance
      Type or Details:

Life Insurance

Health Insurance

Dental/Optical Insurance

Supplemental Benefit Plans

Long Term Care Insurance

Commercial and/or Business Insurance
      Type or Details:

Complimentary Financial Review

Financial Services

Retirement

IRA's/Rollovers

Education

Fixed Annuities

Financial Review

Additional Requests or Comments

I am requesting to be contacted by a Davie Financial Services, Inc. representative regarding the above indicated products/services.