Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 223

Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 225

Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 223

Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 225

Homeowners Insurance Quote Form

We will do our best to furnish a quote based on the information you provide. The more complete your information, the more accurate your quote will be.

All information in this quote form is secure and will be used solely for quoting purposes.

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General Information


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Please enter your first name.

Please enter your first name.

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Please enter your first name.

Date of Birth
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Is this address the address of the home to be insured?(*)
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Do you own any dogs?
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Is there any business conducted on premises? (including day/child care)(*)
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Do you currently have homeowners insurance?(*)
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Contact Information


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Please enter your email address

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How Did You Hear About Us?


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Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 223

Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 225

Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 223

Strict Standards: Only variables should be assigned by reference in /home/lakesh/public_html/plugins/content/seoglossary/seoglossary.php on line 225
Lakeshore Insurance Solutions, Inc.
117 Gardner St
Two Rivers, WI 54241-3205
This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: 920-793-3991
Fax: 920-793-5606