Galaxy Insurance Service, Inc.

"We Go Above And Beyond To Find You The Best Rates In Town!"

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posted by Anonymous on Tue, 07/12/2011 - 13:18

Galaxy Insurance Service Inc
2403 East Anaheim St.
Long Beach, CA 90804
Phone (562) 438-7000 , Fax (562) 438-7001
http://www.galaxyinsurance.com/
info@galaxyinsurance.com
CA Lic #0D44460 * = required

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Contact Info

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Vehicle Information 1

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VIN

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Model *

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Limit of Coverage

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Medical Payment

Uninsured Motorist Liability

Bodily Injury / Person and Body Injury / Occurence

Property Damage

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Collision Deductible

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Vehicle Information 2

Annual Mileage Usage

Model Year

VIN

Make

Model

Vehicle Usage

Limit of Coverage

Collision Deductible

Other Than Collision Deductible (Comprehensive)

Rental Reimbursement

Towing Reimbursement

Vehicle Information 3

Annual Mileage Usage

Model Year

VIN

Make

Model

Vehicle Usage

Limit of Coverage

Collision Deductible

Other Than Collision Deductible (Comprehensive)

Rental Reimbursement

Towing Reimbursement

Vehicle Information 4

Annual Mileage Usage

Model Year

VIN

Make

Model

Vehicle Usage

Limit of Coverage

Collision Deductible

Other Than Collision Deductible (Comprehensive)

Rental Reimbursement

Towing Reimbursement

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