PROPERTY SECTION

PLEASE FILL OUT THE FOLLOWING QUESTIONNAIRE.  Someone from AIE will contact you ASAP!!

YOUR COMPANY NAME (First Named Insured & Other Named Insured)

PHONE

 

AMOUNT

DEDUCTIBLE
BUILDING:
CONTENTS:

CONSTRUCTION TYPE

FIRE DEPARTMENT OR DISTRICT

# OF STORES

YEAR BUILT

TOTAL AREA

I prefer to be contacted by:

Thank you for taking the time out to fill out our questionnaire.  Someone from AIE will get back to you with your quote ASAP!!!

***NOTE:  This Page can be filled out, printed, and faxed to us at 205-987-2080.

2032 Valleydale Road

Birmingham, Alabama 35244

205-988-0800 (Phone)

205-987-2080 (Fax)

Toll Free:  1-800-476-0801