Home Page Facebook Twitter LinkedIn Yelp
  • Home
  • About
  • Personal
  • Business
  • Customer Service
  • Testimonials
  • Blog
  • Contact
Home > Earthquake > Earthquake Quote
Secured by SSL

Earthquake Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name *
Last Name *
Street *
City *
State *
ZIP / Postal Code *
Primary Phone Number *
Alternate Phone Number
E-Mail Address *
Coverage Options
Do you currently have insurance?
Current Insurance Provider
Amount Requested on Building Coverage
Amount Requested on Contents
Desired Dwelling Coverage Limit
Estimated Cost of Building Replacement
Dwelling Information
Building Type
Year Built
Square Footage of Location
Number of Stories Including Basement
Year of Last Major Construction
How did you hear about us?
Submission Validation
Required

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.
Secured by SSL
Insurance Websites Designed and Hosted by Insurance Website Builder


Get a Quote
First Name
Last Name
Phone #
Email
ZIP Code
Comments
Auto
Home
Business
Life
Policy Changes
Make A Payment
Claims
Contact Us
Ganis Insurance Services, Inc.
3655 Torrance Blvd, Suite 300
Torrance, Ca. 90503
Ca Lic # 0I01647
Refer A Friend Charities We Support Newsletter Signup
Contact Us