Leezer Agency Inc 127 W Main St., PO Box 129, Toulon, IL 61483-0129 309-286-2221   1-888-750-2221   Fax: 309-286-6201 www.leezeragency.com

Fill out this form to contact us * Deliver To: Choose from this list General Insurance info Maloof Realty Info Doug Hampton, CIC, CISR Janet Salisbury John Leezer, CIC, CISR, GRI, Realtor® Lori Jackson Nancy Rennick, CISR Tammy Shane Jan Witte Kay Jenkins Rick Heaton Ruth Lang * Your Name: Mailing Address: Phone: * E-Mail: How Should We Respond? E-Mail   Phone   U.S.P.S.   Any and/or All * Question / Comments / Inquiry:

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