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Thanks for your interest!

At this time, we're licensed to quote and service in New Hampshire & Maine only.

If you need coverage in another state, please send us a message & we can refer a great agent to you!

 

 

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Property Insurance Section

Select property type:*
*If you've moved recently or are purchasing a new home, please enter your current/previous address here
Marital Status*
If YES, please list Full Name & Date of Birth of all other Owners or Leasee if renting
Home Insurance Company
Is home vacant or unoccupied?*
Is your entire home or any portion of it available for rent, including short term vacation rental or home sharing/swapping?*
If yes, on what basis is your home available for rent?
Please answer this, if you answered "yes, home is available for rent"
Apartment/Renter's, place an X or Skip this box
Don't include any finished basement or attic space in this figure
Primary Heat Source*
Where is your tank located?*
The Heating system is:*
The Roof is:*
The Plumbing system is:*
The Electrical system is:*
Check any/all that apply*
Do you have any valuable jewelry, watches, furs or collectables?*
Check all applicable systems - these all qualify for discounts*

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Auto Insurance Section

Please list the Year, Make, Model & if you have the VIN, this is very helpful! Campers & Trailers : Please also include the current Cash Value. Thank you :)
How many years ago did you buy this car?
Check any or all that apply to the vehicle use: *
If you are MARRIED, you must list your spouse's info. If YES, please list Full Name, Date of Birth & Driver's License # of all other drivers. 
Car Insurance Company
Discounts I'm interested in:*
Extra coverage, I might be interested in*
Roughly how much are you paying for insurance?
What's most important to you?
Select any/all that apply
Preferred method of contact*
How did you hear about us? *
How soon are you looking to get a quote?
Please understand, I receive a lot of requests every day. I work very hard at providing the very best service to my clients and I value our time greatly 🙏 If you have an urgent or time sensitive request, please let me know here.  Thank you, Melissa 🙂*
MAC Insurance Inc uses information from you and other sources, such as your driving, claims, prior insurance histories & insurance score, to calculate an accurate price for your insurance. New or updated information may be used to calculate your renewal premium. Its Privacy Policy explains how MAC Insurance Inc discloses and protects your personal information and how you may access and correct it. I can provide a copy at your request. *

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