Superior Home Warranty Application

Taylor Insurance Agency Since 1979

Monterey Peninsula,CA

Specialty... Collector Car Insurance & Unique Homes

San Jose, Ca (408) 252-7771 Monterey, Ca ( 831) 643-2048 CHUBB & Hagerty Collector Car programs

Residential Only	Platinum & Gold
Name
Address
City
Zip
E-mail
Telephone
Best Time To Call or
House , Condo, Townhouse
Visa / Mastercard /Discover/Amex
Card #
Exp Date
Card Security Code#
Card Holder Name

Building Square Feet

	$0 Service Call Fee
	$49.95 Service Call Fee



Pay by Check:
Make Check Payable to Superior Home Warranty
Mail to: Taylor Insurance Agency P.O. Box 819, Pacific Grove, Ca 93950
Order by Phone: Call John Taylor (831) 224-5065 (408) 252-7770


"All appliances must be in proper working order when plan takes affect"

Please contact me as soon as possible regarding this matter.