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Get Your Home & Auto Insurance Quote
Home & Auto Insurance Information
This is where beautiful partnerships begin. We can't wait to help you!
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Your Name
*
First
Last
Are you a Shine client already?
*
Yes
No
How'd you hear about Shine?
*
Phone
*
Email
*
Your Birthday
*
What do you do for a living?
*
This can sometimes provide a discount.
Do you have a spouse or partner living with you?
*
Yes
No
Spouse or Partner Name
*
First
Last
Spouse or Partner Phone
Helpful but not necessary
Spouse or Partner Email
Helpful but not necessary
Spouse or Partner Birthday
*
What does your spouse or partner do for a living?
*
Discount may apply
Are you married?
*
Yes
No
Discount may apply
Do you:
*
Own your home
Rent your home
Own your condo
Are you buying a new home?
*
Yes
No
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Current Address (where you live now)
*
Street Address
City
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District of Columbia
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
New Address (The home you're buying)
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are your roof & furnace less than 15 years old?
*
Yes
No
Do you have a dog?
*
Yes
No
What kind of dog (ballpark)
*
Does your home have any of the following: Detached Garage, Pool, a Finished Basement, or a Woodstove?
*
Yes
No
Which one(s)?
*
Which bank helps you with your mortgage?
*
This helps us make sure they get the right documents
Name & birthdate of any additional drivers in your home
*
What cars need insured? (year/make/model)
*
Do any cars have loans on them?
*
Yes
No
Which cars & who is the lender?
Additional Information
You can give us lots of details or just a few.
Attach your current policies or other supporting docs
Drop files here or
Attaching your policy gets you a free apples to apples comparison. You’ll still get a quote without uploading your docs. But if you want the best Shine experience, go ahead and drop those files.
Email
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