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On-Line Limo Insurance Quote Contact Form

One Simple Form
YOUR CONTACT INFORMATION
Legal Name of Limo Company:

Contact Name:

Address:

Phone number:

Email:

FEIN/Tax Id:

Payroll for clerical:

Payroll for drivers:

Who is the current Workers Comp Insurance with now::

Do you provide Airport Service?:
Yes
No  
Do you provide 24-hour Service?:
Yes
No  
How many years in business?:

How many years Experience?:

How many Limos?:

How many Buses?:


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Rogers Insurance Services, Inc.
http://risdirect.com
(RISDirect.com)


State License #:

Arkansas: 100116064 | Arizona: 856688 | CA: 0C94234 | Colorado: 279339
Connecticut: 2450317 | Florida: L054138 | Illinois: 100345551
North Carolina: 1000109230 | New Jersey: 1123706 | New Mexico: 100012913
Nevada: 19300 | New York ( doing business as Royal Colonial Insurance) : BR1036521
Ohio: 41343 | Oregon: 100171064 | Pennsylvania: 601070
South Carolina: 180702 | Texas: 1616350 | Washington: 846460
Wisconsin: 2660029 | West Virginia: 100177705