A Subsidiary of © Eaton Insurance Services
Automobile Quote by Customer Data Entry
Before you begin we recommend you have your current insurance policy declaration page in front of you so you have all your information at hand.
Credits and Discounts – To receive all of the credit and discounts you qualify for please download and complete the Automobile Quote Supplement Form below.
Group Discounts – Please provide us with the name of any group or groups you belong to such as Alumni, Credit union, AARP, Social groups (i.e. Eagles, Rotary etc.).
Credit Score discount – For us to apply this 10% to 42% discount to your quote we need your previous address if you have moved within the last 6 months, it also requires your signed written approval for us to pull your credit score.
Form Download - Because we are in Independent Insurance Agency there are additional questions we need for you to receive quotes from multiple companies that are not asked on our data entry form. To assure your quotes are both accurate and competitive please download, complete and return the auto quote supplement listed below and email it to us at: firstname.lastname@example.org or, Fax to 810-686-8011.
Winword editable text file: Automobile Quote Supplement Adobe PDF file: Auto Quote Supplement PDF
If you need assistance in preparing your submission please call our quote support group at 800-382-1470 between 9:00 AM and 5:00 PM Eastern.
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