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Mobile Home Insurance Quote:
Instructions:
Please fill in the following information and a Qualified Johnston Meier Insurance Representative will contact you with your quote.
All * fields are required.
Note:
Quoted prices are only valid within the Province of British Columbia, Canada.
Quote Information:
1. Risk location, if different from
postal address *
2. Year built *
3. Trade name *
4. Model *
5. Size *
6. Serial number *
7. Deductible required *
$500
$1,000
Other
8. Mature age discount
applies *
Yes
No
If Yes, please provide Date of Birth:
9. Occupancy *
Owner Occupied
Rental
Summer/Seasonal
10. Fire Protection *
Fire Hydrant within 1000ft
Within 8KM of Fire Hall
Unprotected
5 years No Claims Experience
10 years No Claims Experience
Other
11. Heat *
Gas
Electric
Wood
Other
12. Type of coverage required *
Replacement Cost (Replacement Cost/All Risk)
Standard (Actual cash value/Named perils)
Deluxe (Guaranteed Replacement Cost/All Risk)
13. Have you had any losses in
the last 3 years *
Yes
No
If Yes, please provide details and claims amount paid by the insurance company:
N/A
Contact Information:
Name *
Address
City *
Postal code
E-Mail address *
Tel *
Fax
Additional information may be required in order to verify rating.
One of our qualified representatives will contact you to confirm the information provided.
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