FRANGQUIST INSURANCE AGENCY Quote Request

We feel it is important to personally speak with you to ensure that you receive an accurate quote. Please complete the form below. In the Comments section please list the type of quote you are interested in (i.e.; package policy, auto, home, boat, motorcycle, umbrella, life, small business etc...). Also include a preferred time for us to contact you by phone.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

Our greatest source of new business comes from the referrals of satisfied clients.

Please don't keep us a secret!

FRANGQUIST INSURANCE AGENCY, INC
3987 Elaine's Way
Slinger, WI 53086

Slinger - 262-297-1699
Lakewood/Silver Cliff - 715-850-2399
Toll-free - 866-863-7610
Fax - 262-297-1698

SUE FRANGQUIST, CIC, CISR
E-mail - sue@frangquistinsurance.com