JANUARY TRIVIA QUESTION ANSWER

        
The Times Square New Year's Eve Ball was first dropped on December 31, 1907 and has been dropped every New Year's Eve since then, except during World War II.

We don't work for any insurance company - -  We work for YOU!

 
Home Health Insurance
Individual Health Insurance Quote Form
Effective Date Requested Coverage Requested
Do you currently have Coverage? Current Carrier
Current Coverage Type Smoker?: Yes     No
Insured Information
Name: DOB Gender
Address:        
City: State: Zip:
Phone: Fax: Email:
Family Information
Spouse DOB Gender
Child 1 DOB Gender
Child 2 DOB Gender
Child 3 DOB Gender
Child 4 DOB Gender
Child 5 DOB Gender
Medical Information
Please describe any medical conditions and to whom they apply
Indicate any Medications being taken and by whom

AFFORDABLE INSURANCE CONSULTANTS
Ron Dutton, MBA, CBC
2771 Araglin Drive, Dacula, GA 30019
Phone: 678-464-8602 Fax: 678-348-7555
 
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