Assurance Aubin Insurance Brokers LTD. - Online In formation Form


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Personal Information
First Name:	Last Name:
ST. Address:	City/Town:
Province:..	Postal Code:
Email Address:
Phone No:	Work No:
Would you like one of our Insurance Brokers to contact you? ....Yes ... No

Insurance Quiz
Auto Insurance

Did you have an auto insurance coverage revision lately?	Yes . No
Did you verify if you had "claims protection endorsement?" .	Yes . No
Do you know what happens if you have a 2nd accident with your current insurer?	Yes . No
Do you know if your insurance premium will go up if you have an accident?	Yes . No
Does your insurance cover a rental vehicle?	Yes . No
Are you tired of paying for other bad drivers?	Yes . No

Home Insurance

Do you know if you have replacement cost coverage?	Yes . No
Do you know the difference between a) Named Perils ..b) Comprehensive.. c) Broad Coverage?	Yes . No
Do you know if you have guaranteed replacement cost?	Yes . No
Do you know what "Single Limit" means?	Yes . No
Do you know that you could have 100% value coverage on a detached building?	Yes . No
Do you know if you have all the available discounts offered by your present insurer?	Yes . No
Do you know that by combining auto and home insurance you could lower your premium?	Yes . No

If you have answered "no" to any of these questions, you should contact us immediately!

LATEST NEWS

Assurance Aubin's Story

Combine your auto & home insurance!

We have a new location!

312 Manitoba St. Scheiber, Ontario (807) 555-5555

Drop in or phone us to get a free computerized from six insurance companies for your auto and home insurance!

Serving your insurance needs since 1969.

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