AL auto insurance
  Free Quotations
   SELECT DESIRED COVERAGE
alabama car insurance
   Automobile Quotes
AL insurance
   Homeowners Quotes
Alabama contractor insurance
   Renters Insurance Quotes
AL homeowners insurance
   Mobile Homeowners Quotes
Alabama insurance
   Contractor Liability Quotes
Alabama business insurance
   Surety & Fidelity Bond Quotes
Alabama insurance
   General Liability Quotes
AL auto insurance
   Workers Compensation Quotes

   Special Event Insurance

   Life Insurance Quotes

   Long Term Care Quotes

   Disability Insurance Quotes

We accept Major Credit Cards to Make Purchasing Your Insurance EASY!

  Contact Us
   WE'RE HERE TO SERVE YOU
   Millsaps & Associates, Inc.


   Mobile Location:

   519 Azalea Road

   Mobile, AL 36609

   TOLL-FREE: 888-344-0427

   PHONE: 251-344-0427

   FAX: 251-380-0002

   North Mobile:

   251-675-9979

   Baldwin County:

   PHONE: 251-621-7811

   E-MAIL US AT:
   frank@millsapsinsurance.com

   Service Your Account

   Privacy Information

   Map & Office Directions

   Agency Biography

   Associate Login

   Website Design © 2007
   Insurance-web-sales.com



On-Line Special Event
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data

Your Name
Street Address:
City:
State: (Select)
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax: (Optional)
 
Event Details
Date(s) of Event:
Describe Event in DETAIL:
Event Location (address):
 
Number in attendance:
 
Will food be served? Yes No
If yes to food, describe:
 
Will Alcochol be served? Yes No
If yes to alcohol, describe:
 
Describe security at event:
 
Describe music if any, at event:
 
Is There a Charge to Get In
(called a "cover charge")?		 Yes No
 
If charge, estimate receipts: $
 
Approximate square footage
of location you are using:
 
Name and Address of
Additional Insured, if any
(usually the facility):
 
Send my Quotation Results via: Fax E-Mail
Regular Mail
Please Call Me!

Thank you for filling out this form COMPLETELY!

We deem your data submitted as PRIVATE information. Every step has been taken to insure your privacy, security, and to release this information only to you. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Also, the insurance carriers reserve the right to issue coverage or not, and we cannot guarantee acceptance of a risk until approved by the company.

Yes, I Agree. Please Rush my Event Quote

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!