Auto Insurance

Car Insurance Quote

For your personalised car insurance quotation please complete the form below or,
for assistance, please call (902) 453-2273.

Name:

Address:

City:

Province:

Postal Code:

Phone Number:

Your Email (required)

Age of principal driver:

Marital status of principal driver:    

 

Number of years licensed for principal driver:

 

Gender of additional drivers under 25 years of age:    

 

Do driver(s) under 25 years of age have driver training certification?     YesNo

 

Any at fault accidents
in past 6 years?
    YesNo

 

Any driving convictions
in past 3 years?
    YesNo

 

Do you use your vehicle
for business?
    YesNo

 

Do you use your vehicle to commute to and from work?     YesNo

 

Year, make and model of vehicle:

 

Liability limit requested:   

Coverage Preferred:    

Deductible:   

Additional vehicles to be quoted?     YesNo

 

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