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ONE FORM GETS YOU 21 QUOTES

Welcome to Massinsurancequotes.com. We have made the process of getting multiple quotes simple. Fill in our one simple form listed below and we will provide you with 21 quotes. No need to shop multiple websites for different quotes. There are 21 car insurance companies that sell car insurance through Massachusetts agents. Massinsurancequotes.com will provide you with all 21 quotes. Our 21 quotes are provided by Massachusetts independent insurance agents. They provide recommendations in coverage and assist you in the event of a car accident. Our agents sell you the policy and service your policy. They take the time to explain coverage and the procedure to get your MA plates.

For 21 quotes by phone call 781 894-8500 and ask for Mark at ext. 231

Step 1 - Personal Info:	Required Fields are in RED
First Name
Last Name
Day Phone
Evening Phone
E-Mail	*instant email when completed
Street
City
State
Zip

Step 2 - Driver Information:	Driver 1	Driver 2
First Name
Last Name
Date of Birth
How long have you been driving?
Date First Licensed
Sex:	Male Female	Male Female
Marital Status:	Single Married	Single Married
Driver’s License #
License State
Were you licensed in another country?	Yes No	Yes No
If Yes, What country?
For How Many Years?
Can you provide proof of a clean driving record from your country?	Yes No	Yes No
Accidents At Fault In last 6 Years
Moving Violations In last 6 Years
Have you completed a Driver Education Course?	Yes No	Yes No
Have you completed an Advanced Driver Education Course?	Yes No	Yes No
Are you a student with a B average or better?	Yes No	Yes No
Do you have a child away at school?	Yes No	Yes No
How many cars do you own?
Do you belong to a motor club?	Yes No	Yes No
Do you drive a hybrid?	Yes No	Yes No
Name of current Insurance Co:
Years with current Insurance Co:
When does your current policy expire/renew?
Current annual premium?

Step 3 - Vehicle Information:	Vehicle 1	Vehicle 2	Vehicle 3
Year of Vehicle
Make
Model
VIN # (if available)
Estimated Annual mileage
Current Odometer Reading
Town car is parked in at night.
Anti-theft device	Yes No	Yes No	Yes No
Lo-Jack	Yes No	Yes No	Yes No

Step 3 -Coverage Selections:
MA minimum liability limits on parts 3, 5 and 12 are 20,000 per person/$40,000 per accident. We recommend $100,000 per person/$300,000 per accident. Please select your desired coverage.
Part 1 Compulsory, Bodily Injury to Others	$20,000 per person/$40,000 per accident	$20,000 per person/$40,000 per accident	$20,000 per person/$40,000 per accident
Part 2 Personal Injury Protection ($8,000 Deductible)	$0 Deductible	$0 Deductible	$0 Deductible
Part 3, Uninsured Motorist Protection
Part 4, Property Damage
Part 5, Optional Bodily Injury to Others Liability
Part 6, Medical Payments Coverage
Part 7, Collision (Deductibles)
Part 8, Limited Collision (Deductibles)
Part 9, Comprehensive (Deductibles)
Part 10, Substitute Transportation Coverage
Part 11, Towing & Labor
Part 12, Underinsured Motorist Protection
Additional Comments or Information