Commercial « Wongs Insurance

For Wong’s Insurance to properly serve you, please contact us by phone or email. A member of our helpful staff will assist you and determine the appropriate insure for your needs. Types of businesses we work with: retail, local warehouse & distribution, small scale manufacturing, hospitality, office operations, food services, and home offices.

Commercial Insurance Quotation Request

First Name(Required)

Last Name(Required)

Phone(Required)

Email(Required)

Address of business

City

Website of business

Preferred method of contact

Phone during the evening

Phone during the day

Type of business

Age of business

Are you currently insured? If you are please give the name of the insurance company. (We only need this information so that we can provide you a quote from a different company)

When do you need the insurance to begin and end?

Will you have any USA sales?

Yes

Will you have any internet sales?

Yes

I understand that the information set forth is correct and shall be the basis upon which insurance may be granted. Completion of this application does not bind the applicant to accept the quotation nor does it bind the insurer to accept the risk. The applicants agree that reports containing personal, credit, factual record, premium payment or claims history may be sought or exchanged in connection with this application for insurance for insurance or renewal, extension, variation or cancellation there of.