Sample Group Insurance Leads

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Sample Group Insurance Lead
Contact Information
Name:John Doe
Business Phone:(512) 555-1212
Fax:(512) 555-1213
Street Address:123 Main Street
Location:Austin, Texas 78759
Company Information
Comapny Name:Widgets, Inc.Num Owners:1
Legal Classification:C CorporationNum Full-Time Employees:5
Years in Business:5Num Part-Time Employees:0
Annual Revenue:$500,000 - $1,000,000Years Management:5
SIC Code:9999Hour Open:9 AM
Occupied SQFT:2000Hour Close:5 PM
Owned/Leased:LeasedHours Include Weekends:No
Coverage Type(s)
Group Health:PrimaryExecutive Deferred Compensation:No
Commercial Auto:NoRetirement / 401k:No
Commercial Property:NoGroup Disability:No
Workers Comp:NoGroup Life:No
Bonds:NoKey Man Disability:No
Business Interruption:NoKey Man Life:No
Commercial Crime:NoProfessional Liability:No
Directors Liability:NoSupplemental Plans:No
Employment Practices:NoCommercial Liability:No
Business Owners Policy:No
Group Health
First NameLast NameZipcodeBirthdateGenderSpouseChild
Major Medical:NoPrescriptionNo
Currently Insured:NoPolicy Expiration0000-00-00
Insurance Provider:Other/Not ListedClaims in Past 5 Years0
Coverage Period:Less than 6 MonthsAnnual Cost:0