425 South Mount Shasta Blvd.
Mount Shasta, CA 96067
Phone
: (530) 926-4500
Fax: (530) 926-1809
Email: Customerservice@mpiins.com

Homeowners Insurance Quote:

General Information:

Name

Address

City

State

Zip

County

E-mail

Phone

Best Time to Call

Current Homeowners Insurance Company (not your agent’s company):

Company Name

Policy Expiration Date

Amount Insured For ($)

Annual Premium Amount ($)

Term

 6 months

 1 year

 Other

Information about your home:

How long have you lived at your present address?

Number of claims in last 3 years?

Square feet in home (excluding garage and basement)?

What year was your home built?

Structure Information:

Construction

Type

Roof

Age of Roof

 Yrs

Foundation

 

 

Garage Type

Garage Size

 

 

 

 

Home Features:

Bathrooms

Full:

Half:

Basement

Sq. Feet:

Square feet of deck

 

 

Square feet of porch

 

 

Square feet of screened patio

 

 

 

 

 

Copyright © 2000 * Web site maintained by Siskiyou Technology Consultants, Inc.

[Home] [Contact Us] [Our Services] [Policy Inquiry] [Insurance Quotes]