Thank you for your interest in Archer Insurance. Who might you be? *I am a customerI am a realtor on behalf of a customerI am a Non-Realtor professional on behalf of a customerCustomer Name *FirstLastSelect Your Real Estate Office *Keller Williams J Barrett & CompanyCentry 21LUX RealtyChurchill PropertiesREMAXColdwell BankerOtherWhich KW office do you work out of? *Choose OneConnecticutBeverlyNewburyportReadingRevereSalemTopsfieldOtherTell us which KW office.Describe your relationship to the client. *Are you a loan officer, attorney, accountant, car dealership, or from some other industry? Your Name *FirstLastYour Phone *Customer Phone *Your Email *Customer Email *Help us to better understand what the condo insurance needs are *Developing condominiumShopping existing condo masterProperty Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOccupancy *Fully OccupiedPartially OccupiedCurrently vacant but listedPre-Occupancy, under remodelAny rehab being planned at the property after closing? *YesNoDescribe the work being planned. *# of condo units *1234More than 4Is there currently master insurance in place? *Choose OneYesNoUpload current policy *If you'd likeProviding a copy of the existing insurance will simply this process for you!Do you have access to the condo docs [Bi-laws, trust, etc.?] *YesNoPlease upload the condo docsHow did you hear about Archer Insurance? *My Realtor®My mortgage professionalMy attorneyOtherWhat real estate office are you working with? *Keller WilliamsJ Barrett & CompanyCentury 21LUX RealtyChurchill PropertiesREMAXColdwell BankerOtherWhat is your Keller Williams agent name? *Which KW office do they work out of? *ConnecticutBeverlySalemNewburyportTopsfieldReadingRevereOtherType the name of the KW office. *Tell us their name so we can thank them! *Let us know of any special comments or concerns you may have.Checking this box indicates that you have read this. *Archer Insurance is an independent insurance broker licensed by the Commonwealth of Massachusetts. Archer Insurance, Keller Williams Realty Beverly, Keller Williams Realty Eastern Middlesex and Keller Williams Realty Greater Newburyport are independent entities. Each are party to agreements pursuant to which commissions on insurance customer accounts are shared. These agreements do not increase or in any other way affect premiums should you elect to place your insurance coverage thru Archer Insurance.Sign here demonstrating that you understand the Archer/KW relationship. *Clear SignatureSubmit