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Car Insurance Quote
Answer a few quick questions and get a quote from St. Andrews Insurance Brokers.
Step 1 of 2 - Your Info
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First Name
*
Last Name
*
Address
*
Company Name
Email
*
Phone #
Vehicle Year / Make / Model
Is the car lease or finance?
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Lease
Finance
When Did You Buy or Lease It?
Date Format: MM slash DD slash YYYY
Registered Owner's Name
Purchase Condition
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New
Used
Date of Birth
Date Format: MM slash DD slash YYYY
Driver's License Number
Were You Previously Insured?
Yes
No
If Yes, How long were you insured for?
Annual Distance Travelled
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Less than 10,000 Km
10,001 - 20,000 Km
20,001 - 30,000 Km
30,001 - 40,000 Km
40,001 - 50,000 Km
More than 50,000 Km
Daily Commute (one-way)
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Less than 10 Km
10 - 20 Km
20 - 30 Km
30- 40 Km
40 - 50 Km
More than 50 Km
Will the Vehicle be for Business Use
Yes
No
This Vehicle uses Winter Tires during the Winter Months
Yes
No
General Liability
$ 2,000,000
$ 1,000,000
$ 5,000,000
Deductible Limit
$ 1,000
$ 500
$ 2,500
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Driver's License (attach a copy)
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Date of Incident
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What Happened
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Date of Incident
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