Come on, request an auto quote!!

It's easy!

You have nothing to lose except maybe high insurance premiums!  If the insurance rate you have now is lower than what we have to offer stay where you are, you aren't out a dime.  But.... what if we are cheaper, I know you can't beat our professional service and friendly staff!

Like I said, nothing to lose!


Call us @229-242-5660 Monday-Friday 9 til 5:00 or you can fill out the form below & we will send you a quote by email!

To provide you with an accurate quote all of the following fields should be filled out. To help us, please be as specific as you can.   Due to the many different rating factors involved we cannot guarantee these rates, we will however try to be as accurate as possible.  We would certainly like to have your business but we will under no circumstances intentionally give you a lower quote than we can actually provide "just to get you in the office".

We will NOT:

  1. Give this information to ANYONE else.
  2. Call you if you do not want us to.
  3. "Bug" you about taking out a policy.

We can provide any limits and coverages you desire, but for the sake of simplicity, the quote provided will include 25/50/25 liability, and on vehicles where comprehensive & collision is desired, a $500 deductible will be used.  If you would like other limits or coverages, such as uninsured motorist, medical payments, etc. quoted please advise in the comments section.

We will return your quote by email unless you prefer us to call you.

Name:    Zip code:   Email address:

Phone# only if you would like us to call: Best time to call:

Your date of birth: 

Male: Female:     Married: Single:

If married, spouse's first name: Date of Birth:

Are you insured now? How long?

Name of company:

Are you buying your home or renting . How long have you lived at your current residence?

If there is anyone else in the household with a drivers license, please provide their first name, sex, marital status, date of birth and whether or not they will need to be covered.  If there are none, please state "none".

Please list any at-fault accidents (any accident where you or your insurance company had to pay is chargeable) or traffic violations any driver has had in the last 3 years.  Please be specific about the type of ticket.   Include the name of the driver, the type of violation and the approximate date. If none, please state "none".

Vehicles:  Please be as specific as you can, include; year, EXACT model (such as Honda Accord LX, DX, EX or whatever not just Honda Accord!), number of doors, and engine size (usually just 4, 6 or 8 cyl is good enough).   Pickups & SUV's please state whether is it 2wd or 4wd and regular cab or extended cab. If you have the serial number please enter it also, but it is not required.

Include comprehensive & collision on veh 1:veh 2:veh 3:veh 4:

List principal operators of vehicles:

Veh 1:  Name: Driven to work?How far one way?
            Annual miles:

Veh 2: Name: Driven to work?How far one way?
            Annual miles:

Veh 3: Name: Driven to work?How far one way?
            Annual miles:

Veh 4: Name: Driven to work?How far one way?
            Annual miles:

Any additional comments or instructions?

miahp.jpg (6423 bytes)