Auto, Home, Life and Commercial Insurance to meet your needs!  

 

We are moving … but when?

Keep checking "What's New" for clues.

 Be the first to guess the correct day ... win a $250 gas card.

 Contest Rules:    

 

 

1.       No more than 3 entries per person.  Each try replaces/eliminates the prior entry.

2.       Entries should be emailed to: mail@jackapanasinsurance.com

3.       Emails will be saved and winner based on date and time received.

4.       Emails must include your name; address and phone number to qualify.

5.       Must be at least 18 years old and a resident of PA.

6.       No purchase necessary to enter.

7.       Deadline for entries will be one week prior to submission for occupancy permit.

8.       Winner will be required to provide photo ID to verify age and PA residency. 

 Disclaimer:  We are not liable for emails that fail in transmission. We will confirm receipt of all electronic entries by email.  Employees and residents of their household are not eligible.

CONTEST ENTRY FORM

Complete this form to submit your guess for our moving date.

Name (First and Last)*

Street Address*

City*

State*

Zip Code*

Phone*

Email Address (preferred)

Preferred Contact

Email
Phone
Mail (enter address in requested information space)

DATE OFFICE WILL MOVE*

ADDITIONAL COMMENTS:

It is OK to send or email information regarding our services.
I do not want information sent or emailed to me.

I would like more information or a quote for my insurance needs.

Please contact me

Please enter the phrase as it is shown in the box above.