Snapp & Son Insurance
221 1st Ave W, Suite 200
Seattle, WA 98119

206-282-3425

800-467-8389

Fax: 206-285-1894
Lower Q-Anne, by the Arena
Office Hours: M-F 8:30 a.m.-5:00 p.m.
Insurance Since 1937
 
 

Snapp Automotive Quote
Name
Address
City
State WA State only
Zip
Email
Phone
Fax
How did you hear about us?
SSN #  -  - *
Drivers License # *

* Optional but highly recommended for the most accurate insurance quote possible. We respect your privacy.
Do you rent or own home? Rent Own
Do you have current auto insurance now? Yes No
Name of insurance company
Renews when?

Primary Driver



Age:
 
Distance to work
0-3 miles
3-15 miles
Over 15 miles
Business use
None
In the last 36 months
Number of Driving Citations
Number of at-fault Accidents
Number of no-fault Accidents

Primary auto
Year
Make
Model
# of Doors
Anti-lock brakes?
Air bags One Two None

Secondary Driver



Age:
 
Distance to work
0-3 miles
3-15 miles
Over 15 miles
Business use
None
In the last 36 months
Number of driving citations
Number of at-fault accidents
Number of no-fault accidents

Secondary auto
Year
Make
Model
# of Doors
Anti-lock brakes?
Air bags One Two None

Please select the coverage you desire (or Snapp & Son can suggest limits with your quote):

Liability Limit
Suggest

Underinsured Motorist Limit
Match above limit Reject Suggest

Medical (Personal Injury Protection)
$10,000 $25,000 $35,000 Reject Suggest

Comprehensive and Collision Deductible
100/200 500/500 1,000/1,000 Reject Suggest

If you have any comments, questions, or additional coverage needs, please type them below.

 
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SAFECO - PEMCO - Mutual of Enumclaw - Liberty Northwest - GeoVera Earthquake - Progressive - Foremost - Symetra Financial - National Flood Insurance Program (NFIP) - RLI - Independent Insurance Agents of WA - Professional Insurance Agents of WA - Trusted Choice

Licensed to sell and service auto, home, boat, condominium, renter, landlord dwelling fire, motorcycle, umbrella, earthquake, landslide, flood, life, Difference in Conditions (DIC) and other personal insurance coverage in Washington State.

Insurance Since 1937

 

 

 

 

 



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