Kinston Office: (252) 523-3137
Goldsboro Office: (919) 751-1545

Facebook Link
Linkedin Link

Home
About
Products
Quotes
Companies
Service
Questions
Billing
Claims
Blog
Contact

We Live Here
We're Local, Independent and here for you!

Learn More
Personal Insurance
Insurance products for individuals and families throughout .
Read more
Business Insurance
Insurance products for businesses throughout .
Read more

Information Request for Individual Health & Financial Products

Need some help?

Click here and one of our agents will contact you to help you evaluate your insurance options.

Your Information

First Name:*

Last Name:*

Email Address:*

Phone Number:*

Street Address 1:

Street Address 2:

City:

State:

Requested Effective Date:

Financial Service Products

Please let us know what financial service products you're interested in.*

Annuities Critical Care Insurance Disability Insurance Financial Services Health Insurance Health Savings Account (HSA) International Travel and Medical IRAs Life Insurance Long Term Care Medical Insurance Medical, Disability and Long Term Care Short Term Medical Other

Remarks and requests:

Binding Agreement

(Required) I understand that any policy changes and quote requests are effective only when I have received a written confirmation.*

I agree

*Required fields:

This submission is a request. Insurance coverage changes and new coverages are not effective until we confirm that for you.

We will do our best to furnish a quote based on the information you provide. The more complete your information, the more accurate your quote will be.

Security:
The security of your personal information is important to Evans & Associates. Our site uses SSL encryption to ensure your personal information is sent securly to us.

Please complete the contact information below. One of our trained insurance specialists will contact you to assist you.

Information you may have already entered will be forwarded to our advisors.

Your Name*:

Your Email Address*:

Your Phone Number*:

Questions or Comments:

Contact Information:

Evans & Associates
2904 N. Herritage Street
Kinston, North Carolina 28501
Phone: (252) 523-3137
Toll Free: (800) 438-3137
Fax: (252) 523-2146

Evans & Associates
808 N. Berkeley Blvd.
Suite F
Goldsboro, North Carolina 27534
Phone: (919) 751-1545
Toll Free: (800) 438-3137
Fax: (919) 736-1178

Evans & Associates
110 South Caswell Street
La Grange, North Carolina 28551
Phone: (252) 566-4500
Toll Free: (800) 438-3137
Fax: (252) 566-3453

Powered By: Confluency Solutions