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2017 CE Dates and Cities Available

Homeowners Program Start Quote
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My Settings
Instructions Use the form below to fill out your basic user settings. These settings will be remembered by our web quoters and will help to speed up the quoting process by pre-filling the forms with your information.

Note: The information stored here is only used by the web site and will not update the information that JSA has on file. If you need to update the information that JSA has on file for your agency, please call us at 1-800-342-5572.

Agent Information
Note: The following information is the submitting agent's information, not the name of the agency.
Submitting Agent's Name:
Submitting Agent's Email:

Agency Information
Name:
Street:
City:
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Phone:  -  - 
Fax:  -  - 

Terri Preston This form only updates web quotes and not internal JSA systems, such as billing and accounting. If you feel that our internal systems are incorrect as well please contact Terri Preston at 1-800-342-5572 or terrip@jsausa.com
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This program is only available to properly licensed retail insurance offices
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