Complete this simple form and we will get in touch with you to discuss your insurance needs and to develop a comprehensive, affordable package for you. Please be assured that we will never share the information with any other vendor, agency, or individual.
If you have problems with this form or don't wish to send information over the Internet, please print the form and fax it to us at 765-345-7472 or email Chad Leakey or Mike Flowers
Leakey Insurance Agency, Inc.
16 South Jefferson St.
Knightstown, IN 46148
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