How much savings are YOU missing out on?

 

You can now investigate your insurance savings while also giving back to Gay Pride Virginia! Liberty Mutual will donate $10.00 for every auto quote completed by Sierra Knight until 9/27/08 (purchase not required, must be a VA resident). Please contact Sierra for your FREE quote today. Office Tel: (804) 359-5372, ext. 53382 or Mobile: (804) 901-0925 or visit her website: www.libertymutual.com/lm/sierraknight

 

About you

Name:

Date of Birth:

EmployerÕs Name:

Mailing address:

*Phone number:

*Best time to reach you:

 

About your Spouse/Partner (if applicable)

Name:

Date of Birth:

EmployerÕs Name:  

 

To receive a proper quote, please tell Sierra about the vehicle(s) on your current policy 

 

 

Vehicle 1

Year:

Make:

Model:

Check one of the below options

Full coverage

Liability only

 

Vehicle 2 (if applicable)

Year:

Make:

Model:

Check one of the below options

Full coverage

Liability only

 

 

 

Current policy deductible(s):

Current monthly rate for auto insurance:

 

Sierra may also be able to give you additional discounts when you supply for following information:

 

Did you or your spouse attend a 4 year university? Yes   No  
If so, what university?

___________________________________________________________________

Do you bank with a credit union? Yes   No

 

Please allow 2-3 business days for Sierra to contact you.  If you need immediate assistance, contact her at (804) 359-5372 ext. 53382. SierraÕs proud to be your GLBT Insurance Expert.