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Tegeler & Associates PO Box 829. 8 S. Tyler Ave. Pinedale, WY 82941 Toll Free: 1-800-438-2121 Phone: 307-367-2154 Fax: 307-367-2632
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Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all policies or coverages are available in every state

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