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Lavinder Group & Associates Insurance Agency Mission Statment
Lavinder Group & Associates Insurance Agency Vision
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"I would highly recommend Lavinder Group and Associates for any insurance projects. The entire team takes personal ownership of the project. The attention to detail is unmatched by any other insurance company we have used."

- Derek Mitchell, Owner, Ashley Furniture Homestore

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Insured's name:  Insured's DOB:(mm/dd/yyyy) 
Insured Driver License #:  Years of Boating Experience: 
Street Address:  City   State   Zip Code 
Phone Number:  Email Address: 
Coast Guard Certificate? Yes   No 
Boat:
Year/Model/Mfg.: 
Amount of Coverage:    Length: 
Amount of Liability and Medical Pay:    Deductible: 
Waters Navigated: 
Type of Boat:(Ex. Bass boat, Jet Ski, Pontoon, ect.) 
Motor:
Year/Model/Mfg.: 
Amount of Coverage:    Horsepower: 
Inboard or Outboard    Maximum Speed: 
Trailer:
Year/Model/Mfg.: 
Amount of Coverage: 
Coverage for Navigational Equipment: Yes  No    Amount of Coverage: 
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