WWW.NEDFENTONINSURANCE.COM

170 Clinton Street
P.O. Box 267
Salamanca, NY 14779
Phone:(716)-945-1100
Fax: (716)-945-1101

E-mail:ned@nedfentoninsurance.com

________[Home Page]______[Insurance]______[Services]______

Name:

Company:

Address:

City, State, Zip:

Day Phone:

Evening Phone:

Fax:

E-Mail:

Type of insurance needed:

Requested Effective Date:

Best time to call:

Comments or Questions:

This is not an offer to sell insurance or an advertisement of insurance in any place except the State of New York, United States of America.