Vern Fonk Insurance
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Get a FREE rate quote today with Vern Fonk Insurance. Just fill out our simple form and sit back and wait to be contacted by one of our representatives.
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Home Rate Quote Request

STOP! Our internet customers can go to the front of the line!

Vern Fonk Insurance gives our internet customers special attention by sending them to the front of the line. Please call during business hours: 9 am - 6 pm, Monday through Friday and 9 am - 2 pm on Saturday for immediate assistance on your auto and home insurance needs.To make an appointment today, call 1 (800) 654-7722!

Internet customers only!


Please fill out the form below and we will contact you with an insurance quote and answer any questions you have. Required fields are marked with a * , however to receive the most accurate quote we prefer that you answer all the questions.

*Before starting: Please select the city nearest you!

Tell Us About Yourself
*First Name:
Middle Initial:
*Last Name:
*Address:
*City:
*State:  
*Zip:
*Day Phone:    –   ext.
Cell Phone:    –   ext.
*Email:

How did you hear about us?
*How did you hear about us?

Contact Options
*How should we reach you?
Day Phone   Cell Phone
What's the best time to reach you between 9am and 6pm?

Residence Information
*Occupancy
*Year Built
*Construction Type:
*Roof Type:      Age:
*Purchase Date :
*Smoker? : Yes     No
*Burglar Alarm ? : Yes     No
*Heating Type?:
*Foundation Type :
*Number of Baths:
*How many Stories? :
*Garage?:     Number of cars:
*Other Structures? : Yes     No    Description:
Business Use?: Yes     No
Any Pets or Animals? Yes     No   (dog breed: )
Woodstove? Yes     No
Any Claims Or Losses In Last 5 Years? Describe:
Prior/Current Insurance Company::
Amount Of Dwelling Coverage:
Current Annual Premium:
Are You Being Cancelled/Non-Renewed? Reason:
   

Additional Information
Please provide any additional information
that will help us process your Insurance Quote:
 

* Required Fields

Thank you for your quote request. Our agents will get back to you as soon as possible with your home quote.


 

 

 

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