We did it again! For the 2nd year in a row, our team has been voted the Best in Cobb County for insurance.

Thank you for your continued support and trust in us.

Life Insurance Quote

Get a Quote - We shop so you don't have to!

Please provide some basic information and we will do our best to get a quick and accurate quote for you. We will reach out to you if we need additional information to get the quote started.

At the bottom of the page please let us know if you would like to get a quote on any other products.

By filling out this form you are consenting to receive calls/texts from our team.

First Name

Last Name

Date of Birth

Address

Gender

Phone

Please verify the following:

US Citizen

Actively employed or a homemaker

NOT replacing existing life insurance

Between 18 and 60 years old (age nearest)

Do any of these apply?

Diabetes: requiring insulin OR age nearest 7

Cancer (excluding skin cancers) (last 10 years)

Charged with felony (last 10 years)

Diagnosed/treated for drug/alcohol abuse (last 7 years)

Heart, liver, pancreas, kidney, or neurological disease (last 5 years)

HIV/AIDS (last 5 years)

TIA/Stroke (last 5 years)

Emphysema or COPD (last 5 years)

DUI/DWI, reckless driving conviction, or license suspended/revoked (last 5 years)

Rheumatoid arthritis, lupus, or connective tissue disease (last 5 years)

Awaiting procedure or test results, other than pregnancy/fertility/allergies (last 2 years)

Hospitalized in last year requiring treatment or care

Actively in the Military

Covid within the last 30 days or under active treatment

Coverage Amount

Term Length (years)

Rate Class (Nicotine Use)

How did you hear about us?

What else can we help you with?

Homeowners

Auto

Condo/Renters

Boat/Motorcycle/RV/ATV

Business/Commercial

Umbrella

Message

Thanks for submitting!

Call/Text: 678-578-5899

Fax: 678-578-5834

328 SE Alexander St. Suite 12, Marietta, GA 30060

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We did it again! For the 2nd year in a row, our team has been voted the Best in Cobb County for insurance. Thank you for your continued support and trust in us.

Life Insurance Quote

Get a Quote - We shop so you don't have to!

We did it again! For the 2nd year in a row, our team has been voted the Best in Cobb County for insurance.

Thank you for your continued support and trust in us.