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Homeowners Insurance Quote


Please complete the form below, and click "Submit".  For more information on Credit Based Insurance Scoring, visit: https://www.regencyinsurance.net/content/credit_based_insurance_scoring.aspx

Personal Information
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Last Name
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Street
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City
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State
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ZIP / Postal Code
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E-Mail Address
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Primary Phone Number
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Date of Birth
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Does the home contain any Knob & Tube wiring?
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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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