Clarion Associates, Inc.| Insurance Firm dedicated to Musicians

HOLIDAY REMINDER: Clarion will be closing early on Thursday, July 3rd at 3:00PM EDT and will be closed on Friday, July 4.

Please utilize our website for making payments and submit changes to your policy.

Our office will re-open at 9:00AM EDT on Monday, July 7.

Please note fields that appear with * are mandatory.

Personal Information

First Name:* Please enter first name
Last Name:* Please enter last name
Email Address:* Please enter email address Please enter valid email address
Phone:*
(1)
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Are you the owner?*

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If No, please provide the full name and address of the owner.*
Are you the primary player?*

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If No, please provide the full name and date of birth of the primary user *

Full Name :

Date of Birth (Primary Player): (MM/dd/yyyy)
Customer Type:* Please select customer type
Date of Birth (MM/DD/YYYY) (Policyholder):*
I wish to authorize another individual on my policy:*

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Mailing Address

Check here if Military Address
Address:*

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Town/City:* Please enter mailing city Special Charaters Not Allowed Address
Country Name:* Please select mailing country
Zip/Postal Code:* Please enter mailing postal code
State Name:* Please select mailing state

Location of Instrument(s) Start

Same As Above
Address:*

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Town/City:* Please enter city Special Charaters Not Allowed Address
Country Name:* Please select country
Zip/Postal Code:* Please enter postal code
State Name:* Please select state

Desired Effective Date of Policy

Desired Effective Date of Policy:*
What is the total value of all instruments insured?* Please enter Limit

If you are a California resident, please click on the following link for an important notice regarding the collection of Personal Information: California CCPA Notice.

Please tell us which best describes you, the user of the instrument(s) or equipment?*

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