Assurant Specialty Property

Renters Insurance Program

Fields marked with an asterisk (*) are required.

Property Management Company Name *
Community Name *
Address *
City *
State *
ZIP Code *
Phone Number *
E-mail *

	First BROCHURE Item Number. Item Number entry and Quantity selection are REQUIRED. This is found on the back of brochures. See example to the left.		* and *

	Second BROCHURE Item Number. This is found on the back of brochures. See example to the left.		and

	BROCHURE HOLDER Item Number. This is found on either the left or right cornerof the brochure holder. See example to the left.		and
	Any orders received after 3:00 p.m. will be processed the next business day.Total cycle time from order date to delivery date is approximately 5-7 working days. You will receive an email notification when the materials are shipped.