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Mark Thompson

Mark Thompson Insurance Agency, LLC

370 Neff Ave g, Harrisonburg, VA 22801, USA
(540) 434-1144
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Dan Harris

Daniel Harris Insurance Agency, Inc.

111 Oakwood Dr, Bridgewater, VA 22812, USA
(540) 828-2577
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Sign Up for Automatic Bill Pay

Enroll in Automatic Bill Payments by providing the authorization form to your local agent, who will finalize set-up.

  • No installment fees. Save on postage.
  • The monthly premium is deducted from your checking or savings account.
  • Select your monthly electronic payment date (dates available between 1st – 28th).
  • If the policy is updated, you’ll receive notification of deduction changes.
  • You may return to quarterly, semi-annual, or annual billing at any time.
  • To enroll:
    • Complete the form
    • Make a down payment equal to 10% of your annual premium (see the back of form for payment methods)
    • Mail, fax, or deliver this completed form to your local agent’s office

Download this form

Provide completed automatic bill pay form to your local agent.

Download VA Form
Download PA Form

We’re adding new payment options. If your policy starts with an ‘R’

Download Form