Business Proposal Request

Contact Information
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Last Name	*
Address	*
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Zip	*
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Work Phone	*	Best Time
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Business Information
Business Name:
Job Title:
Work Phone (if different):
Work Fax (if different):
Street Address (if different):
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Zip Code (if different):

From the list, select the description closest to the type of work you do:

Please describe the nature of your business, including type of products sold, type of services rendered, territory of operations, etc. If you know the SIC code, please provide that as well.

From the list, select your organization type:

What is your total annual revenue?
What is your total annual payroll?
What is the total number of full-time employees?
What is the total number of part-time employees?

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info@leefmurphy.com

Lee F. Murphy
Insurance Group
2361 Highway 36 W
St. Paul, MN 55113

800.886.7201 toll free
651.644.7200 telephone
651.644.9137 fax

We offer our clients a written service agreement. We put our plan into writing and then into action.

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