Patrons & Farmers Mutual of Missouri

Ask your agent about our Auto/Home discount!

Agency Appointment Information Request

Patrons and Farmers is currently appointing new agencies across Missouri. We seek agents that are committed to field underwriting the person as well as the property and are interested in a company partner that offers flexibility and individual attention.

Please complete the confidential questionnaire below if you'd like to be contacted by a Patrons and Farmers Officer:

Agency General Information

Agency Name:

Mailing Address:

City:

State:

ZIP Code:

Branch Office Locations:

Phone:

Fax:

Email:

Contact Person:

Total number of staff:

Agency Owner(s):

Number of outside sales:

Year Established:

Number of CSRs:

Association Affiliations: (Check ALL that apply)

Trusted Choice Agency

IIABA

PIA

Do you have a cluster, group or brokerage arrangement with other agencies (if so, explain in comments)?

Market Information

Total Premium:

Commercial:

Personal:

What companies are you currently contracted with?

What makes you interested in an agency contract with Patrons & Farmers?

What Missouri counties comprise your agency’s marketing territory?

How did you hear about Patrons & Farmers Mutual?

Additional Comments: