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Farm Insurance
Name:
Address:
City:
Province:
Postal Code:
Phone number:
Email:
Type of Farm:
Beef
Cash Crop
Combination
Dairy
Hobby
Hog
Horse
Poultry
Sheep
Other
Type of farm (if not listed above):
Location
Lot:
Concession:
Township:
Acreage:
Total building value:
Claims - Past 3 years: