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INSURANCE QUOTE FORM
We appreciate the opportunity to review your insurance needs. Privacy is your right and our concern. All information you provide us will be use by us and the insurance companies we represent for rating purposes only and will not be shared with any one else.

 

Getting A Free Insurance Quote is Easy as 1, 2, 3...

  1. Use this web based insurance quote form
  2. Use our fax based insurance quote form
  3. Call us at 631-476-0722 and get a quote over the phone

 

Web Quote Form:  For an accurate quote, please fill in all fields. You can easily navigate the form using the tab button .

 
 

            

Thank you for taking the time to fill out this worksheet. We will use the information you supplied along with your DMV records and your consumer reports which include your credit and financial responsibility information to obtain an insurance quote for you. This information will be kept confidential and is used by us and the insurance companies we represent for rating  purposes only. By submitting this form you are authorizing us to access your information and provide you with a quote.

 

 
Kenneth Veale
 

Ryde Insurance Agency

Ryde Insurance Agency

106 W Broadway

Port Jefferson, New York, 11777

 

 

E-mail: Rydemc@aol.com

E-mail: Ryde Insurance

Phone:631-476-0722

Fax: 631-476-1378

 

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