iCoverCanna®

start your quote now by filling out the form below. you will be able to submit details and or save information for later submission. we look forward to offering you the best rates available for your business needs!

SECTION I – GENERAL INFORMATION

Business Formation:

Are you a member of any cannabis associations?

If “Yes”, what organization(s)?

Description of Product Use:

Have any of the principals engaged in this or similar business under a different name?

BUSINESS FINANCIAL INFORMATION FOR LAST YEAR AND THIS YEAR

Year	Domestic sales	Foreign sales	Payroll	# of employees
Next year
Last year

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26254 IH 10 West Suite 112, Boerne, Texas 78006
info@icovercanna.com
800-966-2301
(520) 306-5000

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SECTION I – GENERAL INFORMATION

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