Shopping Form

Click on the Download File button to display the form in a browser or to save the form to your computer.

After you’ve clicked the Download button, you have several choices:

  • Fill in the form directly on your computer. After filling in the form, save the file. Then return the file to Paul in one of these two ways:
  • Print out the form. Fill in the printed form by hand. Then return the file to Paul in one of these four ways:
    • Fax the filled-in form to 818 -993-1497.
    • Scan the filled-in form and go to https://pdinsure.com/uploads to upload the file in an encrypted manner.
    • Mail the filled-in form to
      P.O. Box 7265
      Van Nuys CA  91409
    • Deliver the filled-in form during normal business hours to
      Paul Davis Insurance Services
      17347 Napa St.
      Northridge, CA 91325