Get a Quote for Insurance

Affincon is here to help your with all your insurance needs. Please complete the form below and an agent will contact you shortly to consult with your about the best supplemental solution for your needs.

Supplemental Insurance Quote Form

Fields marked by an asterisk (*) are required fields.
I would like a quote on the following supplemental coverages: (Check all that apply)*


Insured Information

Name*     Gender  
Address   Unit/Apt/Lot #  
City   State     Zip  
Home Phone   Work    Cell 
Preferred Contact Method     Best Time to Call: 

The protection of your privacy is important to us. Rest assured that the personal information you provide us with will not be disclosed to other parties and will be used solely for the purpose of bringing you the best service possible.
Life insurance

"I can recommend Ron Dutton, without reservation, as an expert in helping to find the best and most affordable insurance coverage available. Mr. Dutton helped me untangle the enormous mountain of information I received as I became eligible for Medicare. He listened carefully to my needs and concerns and used his exceptional expertise to advise me concerning my new coverage needs. Mr. Dutton is not only an expert in his field he is a man who can be trusted."
Janet Love
Lawrenceville, GA