Page Insurance, Ltd
102 Boston Street
Guilford, CT 06437
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Street Address Line 2
District of Columbia
Have there been any changes in the drivers?
Additional info or comments:
Is the name on your policy the same as on the title / deed?
Any company vehicles not owned by you?
Have any of the above vehicles been customized?
Have any of the above vehicles been refinanced or paid off?
or Refinanced through
Additional information or comments:
Do you wish to make any changes to your current coverage?
Does any vehicle have unrepaired damage?
Are there any non-household members who regularly use your vehicle?
Check off the auto insurance discounts to which you believe you're entitled
Defensive driver course - For all drivers who have completed an approved course.
Driver training credit - For licensed drivers under the age of 21.
Good student credit - Applies when youthful drivers maintain a 3.0 or B average.
Resident student - Applies when full time student under 21 and over 100 miles away at school.
Low mileage discount – May be applicable if more cars than drivers.
Multi-car discount - When there are two or more cars insured on the same policy.
Home & car credit - Discounts off each policy when both are insured with the same company.
Annual payment of premium instead of installment payments.
Check off the extra coverages on which you would like information
Car rental coverage - in case of an accident, stolen car, or other insured event.
Extra towing & labor coverage - in case of a breakdown, flat tire, etc.
Higher limits of liability protection - in case you're involved in a serious accident.
Higher limits of no-fault protection - in case you're injured in an auto accident.
Special coverage for your auto sound system.
Homeowners, condo-unit, or renters insurance
$1,000,000 umbrella policy (or higher)
Business insurance (Home-based or other)
Motorcycle, RV, snowmobile, or golf cart
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