McCaslin Horne Insurance Brokers 
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Home insurance
Name:
Email Address:
Address:
City:
Province:
Postal Code:
Phone Number:
Do you own your own home, own a condo unit or rent?

Estimated replacement value of dwelling: (homeowner only)
Estimated replacement value of personal property:
(condo & renters only)
Policy deductible preferred:
Liability amount requested:
Have you had any personal property claimed in the past three years?
Yes     No
 

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