Daniel J. Guarino Insurance Agency, Inc.         Northwoods Business Park  •  199 Rosewood Drive  •  Danvers Massachusetts
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Testimonials • Contact Us  •  p: 978-777-5820  •  fx: 978-777-9443  •  e: info@djgins.com    


Massachusetts MA Car Insurance

Car Insurance Quotes

If you would like an Automobile Insurance Quote, please fill in the following information, then click submit when you are finished.  Your quote request will be emailed to an insurance agent at our company and they will contact you with a quote shortly.

Please provide the following information about yourself and your vehicle. (* indicates a required field.)

First Name
Last Name
Middle Initial
Street Address
City
State
Zip/Postal Code
Home Telephone
Email
Work Telephone
Preferred Method of Contact
Date of Birth
License Number
Year First Licensed
 Year of Vehicle
Make of Vehicle
Model of Vehicle
VIN Number
(without a VIN number, quote is only an estimate)
If Motorcycle, how many CC's
If Motorcycle, what is the cost new?
Town of Garaging
Driver Training
Does this car have an Airbag
Does this car have an Alarm System
Is this car used for a Business
Is the Vehicle Leased
Do you want Collision coverage
If so, what deductible would you like
Do you want Comprehensive coverage (fire, theft, vandalism, glass loss)
If so, what deductible would you like
Are you coming from Out-Of-State
If so, What State?
Any Occasional or Youthful Drivers
If so, please provide Names and DOB

Please detail any specific coverage's you want (Towing, Rental, Liability Limits, etc)

If you have more than 1 vehicle, please include year, make, model and VIN number of additional vehicles
Have you been cancelled for non-payment of your car insurance in the last 2 years?
Please detail any Questions, Comments, or Special Requests:
*How did you find our website? (please select one):

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Verizon Yellow Pages Book
Shamrock Yellow Pages
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Yellow Pages.Com
Business.com
Masshome.com
Boston Real Estate Guide
Auto Insurance Directory
BostonCentral.com
yellowbook.com
business card
Yahoo Directory

Community Phone Book:
Peabody
Danvers
Salem
Tri-Town

Referral
From who?:

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