Paying by Credit Card

Paying by Check

Name Insured *
Name Insured
$
I authorize Frazier Insurance Agency, Inc. to charge my credit card in the amount listed above for the insurance as requested by me. *

Please make all checks out to Frazier Insurance Agency, Inc. and send to our P.O. Box:

Frazier Insurance Agency, Inc.
P.O. Box 1250
Midlothian, VA 23113

Please send all rush payments and overnight checks to our physical location:

Frazier Insurance Agency, Inc.
1602 Rolling Hills Dr, Suite 104
Richmond, VA 23229

For Wire Transfers and ACH Payments, please contact us.