Step 1: Enter Company Information

Company Name (As filed with your State):
Title:
First Name:
Last Name:
Address:
City:
State:
Zip code:
Email:
Phone:
Fax:
SIC code for business:
Or
Type of Business:
Business Structure:	Corporation LLC Partnership Sole Proprietor
How many employees are seeking coverage?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
When do you want your coverage to start?	August, 2008 September, 2008 October, 2008

Call us at 800.421.0099 and we can help you find the right coverage for your Small Business.

The Inn-Club selected Ramage & Sheahen to provide you with the highest quality insurance at the right price for you and your business.

All quotes provided to Inn-Club members are from insurers rated Excellent or Superior (A++, A+, A or A-) by A.M. Best & Company, the leading rating agency of the insurance industry since 1899. You can be sure that the insurance coverage you have purchased will be there when you need it.

Your specific quoted rates are determined by the following:

• ZIP Code
• Type of Business (SIC Code)
• Number of Employees
• Census – Gender, Spouse, Children
• Date Coverage Begins

Group Insurance contracts are issued to companies. Your business structure helps determine which insurance contract is best for you.