HOMEOWNERS & RENTERS INSURANCE QUOTE

Thank you for considering Equinox Insurance of Aroostook for your homeowner's, condo-owner's, or renter's insurance. To receive your free quote from us within one business day, complete the form below and click "Submit Request." The accuracy of the quote you will receive will depend on the information provided. If the information provided is incomplete or incorrect, your actual cost may change.  We will review the information with you when the final application is prepared and may also need to obtain additional information in order to provide the most accurate quote possible.  If you have questions or need help with this form, give us a call at 498-2523 or 1-888-547-6205 .    Please also read our Privacy Statement.

NOTE: You do not need to be a credit union member to obtain a quote.
* = required field
Information About You
First Name: * Last Name:
Address:  
* City: * State: * Zip Code:
* County: , USA
* Email: (please verify that you entered your email address correctly)
Tel: Fax:
* How do you wish to be contacted?
Information About Your Home
* What kind of building ?
Do you own or rent your home? Own Rent
Type of Construction?   Brick Wood Frame
What year was your home built:
If your home is a mobile, double-wide, or modular what is the name of the manufacturer or builder?
If your home is over 20 years old, please show the month and year of the most recent general UPDATE for each of the following:
Plumbing:
Heating / Furnace:
Electrical:
Roof:
Is your home inside the city limits? Yes No
* How many miles away is the closest fire station?  
* Is your home within 1,000 feet of a fire hydrant? Yes No
* Are there any smokers in your household? Yes No
* Are there working smoke detectors in your home? Yes No
* Are up-to-date fire extinguishers in your home? Yes No
* Do you have dead bolt locks on all exterior doors? Yes No
* Do you have a monitored, central station alarm system? Yes No
* Should contents have replacement cost guarantee? Yes No
Information About Your Coverage
Do you currently have insurance on your property? Yes No

If so, what is the policy expiration date?  (MM/DD/YEAR)

* What is the Dwelling limit of coverage?
* What is your Other Structures Limit?
* What is the amount of Coverage on Contents / Personal Property?
* What is your Personal Liability Limit?
* What is your Deductible?
High value items
High value items should be scheduled individually for an agreed upon amount on jewelry, furs, silverware, collectibles or other such items. Please list them below with a brief description of each and amount of coverage desired.
Additional Underwriting Information
* If you have had any homeowner's losses in the last three years, please describe below with information on the date, type and amount of loss of each claim:
Do you have any pets? Yes No
* Do you have a swimming pool? Yes No
If Yes, is it fully fenced and gated? Yes No
* Do you have a trampoline? Yes No
Questions you might have
In the box below, please type any questions you have or add any information that you feel may affect how your property is insured.
How did you learn about Equinox?
* Please check one.
A credit union employee referred me to this Web site.
What was the employee's name?
A flyer or newsletter from my Credit Union
A friend or acquaintance referred me here. (Affiliated credit unions benefit when members and friends use Equinox services.)
* With which Credit Union do you do business?
 

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The information you have provided will be kept confidential and will only be used to obtain quotes for your insurance.  Someone from Equinox Insurance will contact you shortly.