Sullivan Insurance Agency offers a large variety of insurance services in Oklahoma including auto, home, personal and business insurance.
Sullivan Insurance Agency
We are family owned insurance agency in Ardmore, Oklahoma.
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Business & Commercial Auto Vehicle Insurance Quote
First & Last Name:
Street Address:
City, State & Zip:
E-Mail Address:
Telephone:
Business Name:
Vehicle Information
(List all cars you or family own/lease)
Vehicle 1:
Year
Make/Model
Vin #
Yearly Mileage
Usage
Alarm
Select..
Pleasure
Work over 3 mi.
Work less 3 mi.
Business
Yes
No
Vehicle 2:
Year
Make/Model
Vin #
Yearly Mileage
Usage
Alarm
Select..
Pleasure
Work over 3 mi.
Work less 3 mi.
Business
Yes
No
Vehicle 3:
Year
Make/Model
Vin #
Yearly Mileage
Usage
Alarm
Select..
Pleasure
Work over 3 mi.
Work less 3 mi.
Business
Yes
No
Vehicle 4:
Year
Make/Model
Vin #
Yearly Mileage
Usage
Alarm
Select..
Pleasure
Work over 3 mi.
Work less 3 mi.
Business
Yes
No
Any Custom equipment of vehicles? (if YES, give their value):
Debris hauled for others?:
Yes
No
Trailer Hitch?:
Yes
No
Liability Limit Requested:
Select..
$100,000
$300,000
$500,000
$1,000,000
Class of Business:
Driver 1
Name:
Sex:
Male
Female
DL #:
Martial Status:
Married
Single
Date of birth:
Driver's Education?:
Yes
No
S.S.#:
Defensive Driving:
Yes
No
Years Licensed:
Good Student:
Yes
No
Occupation:
SR 22 filing?:
No
Yes
Driver 2
Name:
Sex:
Male
Female
DL #:
Martial Status:
Married
Single
Date of birth:
Driver's Education?:
Yes
No
S.S.#:
Defensive Driving:
Yes
No
Years Licensed:
Good Student:
Yes
No
Occupation:
SR 22 filing?:
No
Yes
Driver 3
Name:
Sex:
Male
Female
DL #:
Martial Status:
Married
Single
Date of birth:
Driver's Education?:
Yes
No
S.S.#:
Defensive Driving:
Yes
No
Years Licensed:
Good Student:
Yes
No
Occupation:
SR 22 filing?:
No
Yes
Driver 4
Name:
Sex:
Male
Female
DL #:
Martial Status:
Married
Single
Date of birth:
Driver's Education?:
Yes
No
S.S.#:
Defensive Driving:
Yes
No
Years Licensed:
Good Student:
Yes
No
Occupation:
SR 22 filing?:
No
Yes
List any DUI convictions, license suspensions or revocations:
Any additional comments or information that might be helpful in your quote:
Online Quote Forms
For a Free No-Obligation Quote for your insurance needs, Click on one of the links below:
Personal Insurance
:
Automobile Insurance Quote
Homeowners Insurance Quote
Farm / Ranch Insurance Quote
Renters Insurance Quote
Business Insurance
:
Business & Commercial Quote
Workers' Comp Quote
General Liability Insurance
Commercial Auto Insurance
Church Insurance Quote
Special Programs
:
Agribusiness Insurance
Indian Tribes/Casinos
Church Insurance
Manufacturing
Associated Risk Managers Int.
Home |
About Us |
Our Services |
Our Companies |
Questions?
Contact Us |
Support |
Designations
Sullivan Insurance Agency © 2004
Questions or comments? Contact us by
email
.