Stroud National Agency, Inc.

REQUEST FOR BINDING COVERAGE

New Farm and Ranch Owners policies will not be bound without a completed application, printed
loss history, and photos of all structures, all sides. We must have these items in order to submit this
“Request for Binding Coverage” to the company

PLEASE NOTE: In honor of Memorial Day, our office will close at 12:00pm MDT / 1:00pm CDT on Friday, May 24th and resume normal operating hours on Tuesday, May 28th at 7:30am MDT / 8:30am CDT.
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