Yale Brokerage
Corp.
AUTOMOBILE
INSURANCE QUOTATION FORM
To help us supply
you with the most accurate quote possible, please answer as many
questions as you can with the most accurate information available
to you.
Information submitted
will be held confidential and will be used for quote purposes
only.
Submission of application information in no way obligates you
to purchase any product or insurance, nor does it represent any
agreeent to provide coverage under any insurance policy.
Copyright 2001 © The Mines Press
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