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Auto Insurance Quote
We offer a variety of coverages based on your specific needs. If you have a good driving record we have very competitive auto rates. We can assist you right now in identifying the coverages and costs available to you.

Please complete and submit the preliminary information form below and one of our qualified representatives will contact you promptly. We respect your privacy and will not distribute any of your information to others.

Please Note: this web site provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states (our agents are licensed in: Montana, Oregon, Washington and Idaho). For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements, or prospectus, if applicable.

 

When buying car insurance, choose coverage amounts wisely. Liability coverage amounts that are too low may jeopardize your assets. To save money, put all your vehicles on one policy.

Maintaining a safe driving record will insure you from paying penalties on your policy. You should also have an auto policy review performed annually.

Flexible Payment Options: there are several different payment plans available, including monthly withdrawal from your checking account with no service fee.

24-Hour Claims Hotline: In the event of an emergency you can call a toll free number to talk to a claims representative 24 hours a day.

Guarantee On Repairs: Repairs made to your car by an approved body shop, after an accident, are guaranteed for as long as you own the car.

There Are Discounts For:

  • Being a good driver;

  • Driving a safe car;

  • Low annual mileage;

  • Drivers over 50 years old;

  • Carpools;

  • Being a good student;

  • Student that has taken drivers' training;

  • Student away at school without a car;

  • Multiple cars with the same insurance company; and,

  • Having other policies with the same insurance company.

 
        All Fields Must Be Completed For Processing
Name
Address
City
State ZIP
Work Phone
Home Phone
E-Mail
Present Auto Insurance Company
Date Auto Insurance Expires
Do You Own a Home? Yes No
How Long at Your Present Address?
.
Car#  Year Make Model 2dr/4dr

Miles to Work (one way)

 Annual Mileage
1

2

3

.
  Driver Name: Driver Name: Driver Name:
 
Date of Birth
Gender
Marital Status
Occupation
Number of Tickets in Last 3 Years
Number of Accidents in Last 3 Years
Percent of Use:  
Car #1  
Car #2  
Car #3  
.

LIABILITY LIMIT FOR ALL CARS*
Bodily Injury: Property Damage:
Single Limit (choose one):
25,000/50,000 25,000
60,000
50,000/100,000 50,000
100,000
100,000/300,000 100,000
300,000
250,000/500,000 500,000
500,000

*Choose either Bodily Injury and Property Damage OR Single Limit
.

Car #

 Deductible Comprehensive Deductible Collision Tow Loss of Use
1 100 250 500 250 500 1000 Yes Yes
2 100 250 500 250 500 1000 Yes Yes
3 100 250 500 250 500 1000 Yes Yes

Thank you,. Now submit your data to our agency for review.
We will contact you shortly.

   

 

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Securities offered through SIS Financial & Insurance Services.
777 108th Ave. N. E., Bellevue, WA  98004, Tel: (800) 469-7667
Glidewell Investments & Insurance, Inc., is not a subsidiary or an affiliate of SIS Financial & Insurance Services

Copyright© 2001-2007 Glidewell Investments & Insurance Group, Inc. All Rights Reserved.