The McElhinny Insurance Agency, LLC, is licensed to conduct business in Pennsylvania. The information on this site is a solicitation to conduct business only in Pennsylvania. To request a preliminary quote, please fill in the following information and click the "Submit" button when completed
Personal Information
Name:
Home Phone:
( ) -
Work Phone:
( ) -
E-mail:
Address Line #1:
Address Line #2:
City:
State:
Zip:

  Car/Truck 1 Car/Truck 2 Car/Truck 3 Car/Truck 4
Year:
Make:
Model:
VIN#:
Miles to work:
Airbag(s): 2 2 2 2
ABS: N N N N
  Primary Driver Information
Age:
Sex:
Status:
  Driving Record Last 3 Years
# Violations
# Accidents

Current Company:
Best time to contact: 
Additional Info:
 
[Home] [Welcome] [Auto]  [Business] [Boat]
[Investment] [Contact Us] [New!] [Links]

© Copyright 2005 McElhinny Insurance Agency, LLC