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425-432-4999

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Free Multi-Vehicle Quote

12 Times's Strongside for insureds is we never call a Fair Catch for the customer, always leave a Safety Valve on Coverages, and we are never afraid to go into the Neutral Zone with the Underwriters.

Please submit this form for your prompt quote request. Answer the questions the best you can. Many questions are here to help so we can intercept that Better rate for you!

Personal Information

First Name *

Last Name *

Street *

City *

State *

ZIP / Postal Code *

Primary Phone Number *

Alternate Phone Number

E-Mail Address *

Do you Own or Rent your home?

Vehicle #1

VIN #

Commute miles home to work?

Vehicle 1 - How many days per week do you commute?

Annual Miles Vehicle 1

#1 Month/Year purchased vehicle?

Vehicle 2 Year Model *

Vehicle 2 VIN

Commute miles home to work?

Vehicle 2 - How many days per week do you commute?

Annual Miles Vehicle 2

#2 Month/Year purchased vehicle?

Vehicle 3 Year Model *

VIN #

Commute miles home to work?

Annual Miles Vehicle 3

#3 Year/month purchased vehicle?

Vehicle 4 Year Model *

VIN #

Commute miles home to work?

Annual miles vehicle 4

Does any vehicle ever tow anything?

Yes
No
One day I will be

# 4 Year/month purchased vehicle?

Name of Driver 1 *

Driver 1-DOB

#1-Moving or non-moving violations past 5 years-list approximate month/year

#1-Accidents at-fault or non-fault past 5 years-list approximate month

Annual miles vehicle 4

Name of Driver 2

Driver 2 -DOB

#2-USA Year/Month first licensed or age

#2-Moving or non-moving violations past 5 years-list approximate month

#1-USA Year/Month first licensed or age

#2-Accidents at-fault or non-fault past 5 years-list approximate month

Name of Driver 3

Driver 3-DOB

#3-USA Month/Year first licensed or age.

#3-Moving or non-moving violations past 5 years-list approximate month

#3-Accidents at-fault or non-fault past 5 years-list approximate month

Any Comprehensive claims last 5 years?(fire, theft, vandalism, nature, animal)

Do you currently have coverage active right now?

If your insurance is not active, when did it cancel?

Do you know your Liability Limits are on your current or previous insurance?

Would you consider a Auto Homeowners package for the best prices?

Highest Level of Education

#3 - If Student, please list Grade Point Average

Submission Validation

Required

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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12 Times Better Insurance Plus

3108 A Street SE, Suite A, Auburn, WA 98002 | 425-432-4999 | 253-249-7581