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Home > Business Commercial > Commercial Auto Quote Form
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Commercial Auto Quote Form


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Business Name *
First Name *
Last Name *
E-Mail Address *
City *
State *
ZIP / Postal Code *
If you would like stop here, please hit submit at the bottom and a qualified agent can contact you to obtain the rest of your information.
Primary Phone Number
Alternate Phone Number
Date of Birth
/ /
Marital Status
License (State, Number)
Vehicle Information
Year
Make
Model
VIN #
Cylinders
Coverage Options
Do you rent or own your home?
Do you currently have insurance?
Current Insurance Provider
Current Renewal Date
/ /
If no, when did you last have insurance?
/ /
Comprehensive Deductible
Collision Deductible
Bodily Injury Liability
Property Damage Liability
Uninsured Motorist Bodily Injury
Uninsured Motorist Property Damage
Underinsured Motorist - Bodily Injury Limits
Underinsured Motorist - Property Damage Limits
Medical Pay / PIP
Towing
Rental
What percentage of your vehicles total use time is driven by you?
How many miles will you drive your car annually? (Approximately)
Does this driver have any major violations (5yrs), accidents or minor violations (3yrs), comprehensive or collision claims (3yrs)?
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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The Weimer Group
550 Schoolhouse Rd | Harleysville, PA 19438

Phone: (215) 723-9805 | Fax: (215) 723-4860

1000 E. Walnut St, Suite 601 | Perkasie, PA 18944
Phone: (215) 257-9171 | Fax: (215) 257-0400
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