AllChoice Insurance Agency Inc. - FAST and FREE New York Auto, Homeowners, and Condo Insurance Quotes Online!
Home   |   Personal Insurance  |   About Our Agency   |   Contact and Service   |   Our Privacy Notice
  New York auto and homeowners Insurance Quotes
get a free NY insurance quote! Select Your
Coverage Below:


Automobile
Insurance
Quotes
Fast and Free NY Auto Insurance Quotes
Homeowners
Insurance
Quotes
Fast and Free New York Homeowners Insurance Quotes
Motorcycle
Insurance
Quotes
New York Motorcycle Insurance Quotes
Life
Insurance
Quotes
Fast and Free Life Insurance Quotes
Personal
Umbrella
Quotes
Personal Umbrella Insurance Quotes
Renters
Insurance
Quotes
Fast and Free Renters Insurance Quotes
Condominium
Insurance
Quotes
Fast and Free Condo Insurance Quotes
Flood
Insurance
Quotes
Fast and Free flood Insurance Quotes
Earthquake
Insurance
Quotes
Fast and Free Earthquake Insurance Quotes
Wedding
Insurance
Quotes
Fast and Free Wedding Insurance Quotes


For Your Convenience
We Gladly Accept:

Our Quote Line:
845-357-9200
(9:00am to 5:00pm, Eastern)

we guarantee your satisfaction!

Keywords Our Clients Use to Find Us Include: Suffern home insurance quotes, New City home insurance quotes, Nyack home insurance quotes, All insurance Suffern, farm insurance suffern , state insurance suffern, New City car insurance, all brand insurance New City, insurance management Suffern, Suffern auto insurance, Suffern car insurance, Tuxedo Park insurance, New City auto insurance, Nanuet auto insurance, mutual insurance New City, nyackinsurance

Website Design by:
Insurance-Web-Sales © 2011

  NY insurance quotes from AllChoice Insurance Agency

Homeowners Insurance
Quotation Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address:
City:
Your "County" is?
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
Primary Insured's Occupation:
 
Primary Policyholder's Birthdate:
(REQUIRED - Some companies products
offer discounts for certain age groups.)
 
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Is this Builder's Risk?
(new home constr.)
NO YES
 
Month/Year home
to be complete:
 
Number of units: 1 family Duplex
 
Type foundation: Basement
Slab
Crawlspace over slab
Other (list in remarks)
(If basement, what % is finished?)
% FINISHED
 
Type Construction: Frame
Brick/Veneer
Stone
Other (list in remarks)
 
Type Roof: Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal Other
 
Number of stories: One 1.5
Two Three
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Does Home Have a Garage? Yes No
Tell whether built in, detached/attached, and how many cars?
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Rate Your Credit History and Past Insurance Payment History:
(Some companies products are
based on your credit and payment history.)
Excellent Fair
Poor Horrible
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
 
Heating Type: Gas (Propane or natural)
Electric
Oil (if oil, list tank location in remarks)
 
Circuit Breakers or fuses? Breakers Fuses

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Dwelling Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, oil tank location, or other special coverages/remarks here):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call Me By Phone

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a Quote NOW!


Help Us Fight Spam! Type the Numerical Code you see at right, into the empty text box on the left, so we know you are a human. Thanks for your help!

Enter code at right, here:
Web Form Protection Code
reload image

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!


All Choice Insurance Agency, Inc.
71 Lafayette Avenue (Provident Bank Bldg.) - Suffern, NY 10901
Phone: 845-357-9200 | Fax: 845-504-4154 | New York Ins. Lic#1134607
Our Privacy Notice | About Our Agency | Map/Driving Directions

 
Suffern home insurance quotes, New City home insurance quotes, Nyack home insurance quotes, All insurance Suffern, farm insurance suffern,
state insurance suffern, New City car insurance, all brand insurance New City, insurance management Suffern, Suffern auto insurance,
Suffern car insurance, Tuxedo Park insurance, New City auto insurance, Nanuet auto insurance, mutual insurance New City, nyackinsurance.