Massachusetts Auto, Home & Life Insurance Your online source for Massachusetts Auto Insurance


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781-246-8699

Massachusetts Auto Insurance Quote

Get a Massachusetts Auto Insurance Quote
Auto insurance is even easier to get with our Quick Sign Up Form. In three simple steps you can receive a Free Mass Auto Insurance quote on the coverage that you choose. Read our overview of Massachusetts Auto Insurance coverage.

Step 1 - Personal Info
First Name:
Last Name:
Date of Birth: (mm/dd/yyyy)
Day Phone:
Evening Phone:
E-Mail:
Street:
City:
State:
Zip:
The best way to reach me is: Daytime Phone Evening Phone
E-Mail Postal Mail
Step 2 - Additional Info
Driver's License #:
When were you first licensed? (mm/dd/yyyy)
What state were you first licensed in?
Year of Vehicle:
Make:
Model:
V.I.N. # (if available)
Town of Garaging:
Years in Town?
Do you have home, apartment or condominium insurance?
If yes, with which company?
Yes No


Do you own a home? Yes No
Full time, Good Student?
(B or better avg)
Yes No
Are you a member of any of the following groups?
Are you a member of AAA? Yes No
Anti-theft Device?
If yes explain type:
Yes No
 
Estimated Annual Mileage?
Current Company:
Renewal Date: (mm/dd/yyyy)
Step 3 - Coverage Selections

Physical Damage Coverage
(Covers the value of your vehicle if you are at fault in an accident, a victim of a hit & run or if your vehicle suffers fire, theft, or vandalism.)
 NO COLLISION COVERAGE / NO COMPREHENSIVE COVERAGE - Due to the age & (lack of) value of my vehicle 
 $300 DEDUCTIBLES - COLLISION & COMPREHENSIVE COVERAGE. 
 $500 DEDUCTIBLES - COLLISION & COMPREHENSIVE COVERAGE. 
 $1000 DEDUCTIBLES - COLLISION & COMPREHENSIVE COVERAGE. 

Choose your Liability Limits:
 Minimum-type Liability Limits
$20,000  per person/ $40,000 per accident Bodily Injury & Uninsured/Underinsured Motorist Protection
$100,000 Property Damage

 Basic Protection
$50,000 per person/ $100,000 per accident Bodily Injury & Uninsured/Underinsured Motorist Protection
$100,000 Property Damage

 Recommended Limits (at least)
$100,000 per person/ $300,000 per accident Bodily Injury & Uninsured/Underinsured Motorist Protection
$100,000 Property Damage

 Superb Protection*
$250,000 per person/$500,000 per accident Bodily Injury & Uninsured/Underinsured Motorist Protection
$100,000 Property Damage

*Many people that choose Superb Protection are also interested in carrying a Personal Liability Umbrella Policy. These limits are the underlying requirements for a Personal Liability Umbrella Policy.


Additional Comments or Information:
   
Thank you for your info. A professional, independent, full service insurance broker will be in touch with you when and where you requested.



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Lynnfield, MA 01940
Phone: 781-246-8699 Fax: 781-224-0546
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