HOME INSURANCE

 

 

At Geraci Financial Group we will help you get the best home insurance rates, just fill out the form below and we will quote you with a very competitive rate.

HOME INSURANCE QUOTE FORM

CONTACT INFO

Name 
Street, Apt:
City, Province
Postal Code
Daytime Phone
E-mail Address

 

Square Footage: Sq ft.
Year Built:
Construction:
Detached Semi:
No. of Stories:
No. of Bathrooms:
Finished Basement Sq ft.
Porch or Deck Sq ft.
Check all appropriate features
                         Fireplace (Gas)
                         Fireplace (Woodburning)
                         Central Air
                         Central Vac
                         Swimming Pool
No. Car Garage Garage         Garage Type Detached Attached Built-In

If over 25 Years old, please list updates:
                         Roof
                         Electrical
                         Heating
                         Wiring

Other:
Smokers YES NO
Mortgage Free YES NO
Alarm System :  YESNO         If YES Type Monitored Local
Current Building Coverage Amount $
Current Company
Expiry Date DD/MM/YYYY
How long have you had Home Insurance?

Other Comments or Notes

 

 

GERACI FINANCIAL GROUP


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SERVING WHITBY AND DURHAM REGION
1621 McEwen Drive, Whitby, ON L1N 9A5, Canada
Phone: 905-723-7277 Fax: 905-433-0051 EMail:tony@geracifinancialgroup.com