Small and Son, INC. Insurance Since 1918

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Small & Son, Inc.
16 South Seventh Street Stroudsburg, PA 18360
Phone: (570) 421-0111
Fax: (570) 421- 2678

Homeowner Insurance Quote Form *Indicates Mandatory Fields

First Name: *
Last Name: *
Email: *
Address: *
City: *
State: *
Zip *

Home Year Built *
Style/Number of Stories *
Square Footage *
Attached Garage:  
Basement: *
% Finished Basement:  
Construction:   Wood Exterior Brick Veneer Solid Brick Aluminum - Vinyl Siding Log Manufctured Home
Type of Heat:   Oil Gas Electric Wood/Coal/Pellet Stove
Feet From Hydrant:  
Miles to Fire Station:  
Any Losses in the last five years? Please explain: