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Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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Social Networking Ponca City Office: 580-765-5566
Stillwater Office: 405-334-5477
Edmond/OKC: 405-530-4019
Oklahoma City Personal Insurance: 405-879-3434

Loftis & Wetzel Corporation
115 W Blackwell Avenue
Blackwell, OK 74631
580-363-3434

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