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UPDATE POLICY

WE PROVIDE INSURANCE COVERAGE FOR MINNESOTA ONLY
Please fill out the form and submit it to us. You will be contacted as soon as possible. If you prefer to give information over the phone, fill out the * areas only and a GIS agent will contact you, or print this out and mail or fax it to us.  Policy changes submitted on-line, via email, mail or fax will not be valid until you have received a personal confirmation from a GIS agent.


Name: *
Address:
City:
State:
ZIP:
Home Phone: *
Email: *
Work Phone:
Cell Phone:
Type of Policy: *

* Please provide a description of how you want your policy updated:
Greater Insurance Service | 407 South Pokegama Avenue | Grand Rapids, MN 55744 | Tel: 218.327.1854
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