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Garagekeeper's
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal / Company Data:

Your Name:
Your Company's Name:
Street Address:
City:
State:
Zip/Postal:
E-Mail (REQUIRED):
Phone:
Fax (optional):
Your Business Type: Corporation
Partnership
Individual
Other

 


Currently Insured?
(If yes, list carrier, and Policy Dates.
If none, type NONE)
 
Current Premium (cost) $
 
List Claims & Amounts Paid
During Last 5 Years
(If none, type NONE)
 
Years In Business:
 


 
Underwriting Information:
 
 
Operations Data:
Describe IN DETAIL,
Your Business Operations:
 
Ownership & Payroll Data:
List Employee's Annual Payroll Here (if none, enter $0): $ Insert # of
Employees here:
 
Location & Sales Information:
Insert Annual Gross Revenues from this operation here: $ Square Footage of office or business location:
 
Type of Building (wood frame, concrete, etc.): Number of Stories:
 
Are there other business/residences in this building (describe)?: Describe safety features (alarm, sprinklers, fire protection, etc):
Provide breakdown percentages of work provided:
Passenger %  Truck %  Over 22,000 lbs.  %

What % towing and gas sales? % %

 
Coverage Desired:
Limits of Liability Coverage I am Interested In:
Limit of Garagekeepers Coverage Needed:
(Total amount of vehicle left in your possession.)
$
 
 
Send my quotation via: E-Mail Fax
Regular Mail
Please Call by Phone!

 
Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a
Garage/Auto Repair Shop Insurance Quote NOW!


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Garage Insurance Now.com has been insuring car dealers, auto repair shops and garages for decades. We now serve Pennsylvania, North Carolina, and Maryland, and shop the current major garage insurance carriers to get you the maximum protection at the most affordable prices. We present FAST quotes, GREAT service, and LOW rates to every customer. Some of the KEYWORDS our clients use to find us on the internet include: Pennsylvania garage insurance, PA garage insurance, North Carolina garage insurance, NC garage insurance,Maryland garage insurance, MD garage insurance, PA auto repair garage insurance, low cost PA, NC, and MD auto garage insurance, used car dealer insurance, cheap North Carolina garage insurance, auto repair garage insurance for Pennsylvania, Maryland garage workers comp and commercial property insurance, low cost insurance quotes for Pennsylvania, North Carolina, and Maryland garages

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