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Fill out the following form as completely as possible. Once you have completed the form, click Submit to send your information to DurAmerica Brokerage Inc. We will handle your request shortly.

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Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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37-14 30th Street
Long Island City, NY 11101
Sales - (855) 777-6932 
Customer Service - (718) 626-0700
info@duramerica.com
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