Laura Harris Agency Inc.
Professional Service
 
5350 S Staples St Suite 150
Corpus Christi, TX 78411
361-985-2875
361-985-0509 (fax)
email:dawneperez@allstate.com

Our agency is licensed to quote and write insurance policies only in Texas. To find agents offering these coverages in all other states, please click the IQ.net logo.

 

Annuity Quote
Completely fill out and submit this form to our agency to receive an accurate quote. You MUST provide at least one method of contact to receive a quote from our agency.


Name (required)
email Address (required)
Street
City, State, Zip
Daytime Phone
Night Phone
FAX

Investment Information

 
Amount of money you want to invest:
Is this a lump sum investment
If 'NO' how much do you plan to add to the annuity:
How often will you deposit additional funds:
 
Are any funds coming from a Tax Qualified Account ?
If 'YES' what type of account?
 
Are any funds coming from a Non Tax Qualified Account ?
If 'YES' what type of account?
Month CD comes due?
 
 



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