AAC Ins Adams Albert and Curry Insurance Agency

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Auto Insurance

Auto insurance is not just an option—it is a legal necessity.You wouldn't want it any other way. If you are involved in an accident or have your car stolen, owning the right kind of auto insurance can help to ease a difficult situation. For more information provide some answers below and help we will help you to find the most appropriate solutions.

Proposed Effective Date"		(enter as MM/DD/YYYY)
Name:		(first, last)
Address
City:
Zip:
County:
Home Phone:
Work Phone:
Email:
Auto Quote:

Vehicle 1	Year	Miles to Work
Make/Model		Name of Driver
Vehicle 2	Year	Miles to Work
Make/Model		Name of Driver
Vehicle 13	Year	Miles to Work
Make/Model		Name of Driver
Coverage		Deductibles
Liability Limits/Combined		Comprehensive:
Property Damage:		Collision:
Uninsured/Underinsured Motorist
Medical Payments:
Describe any claims/Violations in the last three years:

Final premiums will be established after a thorough review of your needs. Your request for a premium quote does not constitute an agreement to purchase insurance. Likewise, the indication we provide will not constitute an agreement to issue coverage.

Office hours Mon-Fri; 9:00am - 5:00 PM

AACINS.NET •49 West Main Street • Shelby, Ohio 44875 • (800) 282-2749 • (419) 342-4226 • Fax (419) 347-1041

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