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Online Quote Request

Automobile Insurance Quote - Single Driver - 1 Driver, 1 Vehicle Only

A member of the Pacheco Insurance staff will personally develop a quote suited to your particular insurance needs. We value our customers and take pride in the personal attention we provide.

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The quotes provided are for Massachusetts only.

Fill out the form below to obtain a Massachusetts auto quote. This form is for quotes for one vehicle and one driver. For additional vehicles or drivers, please use our Family Quote Form or feel free to contact us.

For state of Massachusetts explanations of the coverages down in the "Insurance Coverages" section, click the "?" button next to the coverage. These help links connect you with the Massachusetts Division of Insurance website explanations of the various insurance coverages.

*Required.

Vehicle(s) Registration Information Section

The name and address to which the vehicle(s) is or will be registered:

Name*:
Street:
City/State/Zip: / /
Home Phone:
Work Phone:
Email Address*:

Driver Information Section

State Licensed:
Years of Driving Experience:
If less than 3 years, have you
completed a course in Driver Training?
Yes     No
Drivers License Number:
Date of Birth

Vehicle Information Section

Year
Make
Model

(Please be as specific as possible. i.e. Honda Accord LX, 4 door)
Vehicle VIN #:

   Please check all that apply to this vehicle.

Airbags
Automatic Seatbelts
How many miles do you drive this vehicle per year?
Antitheft device (Alarm)
Vehicle Recovery System (LoJack)

Insurance Coverages Section

1. Bodily Injury to Others: $20,000 per person / $40,000 per accident
2. Personal Injury Protection: $8,000 per person
3. Bodily Injury caused by uninsured auto:  $20,000 per person / $40,000 per accident
 $25,000 per person / $40,000 per accident
 $25,000 per person / $50,000 per accident
 $35,000 per person / $80,000 per accident
 $50,000 per person / $100,000 per accident
 $100,000 per person / $300,000 per accident
 $250,000 per person / $500,000 per accident
4. Damage to someone else's property:  $5,000
 $10,000
 $25,000
 $50,000
 $100,000
 $250,000

Optional Insurance

5. Optional Bodily Injury To Others:  $20,000 per person / $40,000 per accident
 $25,000 per person / $40,000 per accident
 $25,000 per person / $50,000 per accident
 $35,000 per person / $80,000 per accident
 $50,000 per person / $100,000 per accident
 $100,000 per person / $300,000 per accident
 $250,000 per person / $500,000 per accident
6. Medical Payments:  No Coverage
 $5,000 per person
 $10,000 per person
 $15,000 per person
 $20,000 per person
 $25,000 per person
7. Collision Coverage/ Deductible:  No Coverage
 $300
 $500
 $1000
8. Limited Collision:  No
 Yes
9. Comprehensive Coverage:  No Coverage
 300
 500
 1000
10. Substitute Transportation:  No Coverage
 $15 per day
 $30 per day
 $100 per day
11. Towing and Labor:  No Coverage
 $50 per incident
 $100 per incident
12. Bodily Injury caused by underinsured:  $20,000 per person /$40,000 per accident
 $25,000 per person / $50,000 per accident
 $35,000 per person / $80,000 per accident
 $50,000 per person / $100,000 per accident
 $100,000 per person / $300,000 per accident
 $250,000 per person / $500,000 per accident

Response Method

I would like my quote sent to me via: Email
Telephone
Snail Mail
Fax
Fax Number:
Mailing Address:
Street:
City/State/Zip:

/ /
How did you hear about us?:  Boston.com
 Internet Yellow Pages
 Yahoo!
 AltaVista
 Lycos
 AOL
 Northern Light
 Go Network
 HotBot
 Other:
Questions or Comments:

Review Sections:

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Click the Submit button below to send your request.

           

We will send your quote promptly.
Thank you for considering Pacheco Insurance!

Have general questions about your insurance needs? If you would like information on specific types of insurance coverage, but are not yet ready to submit a quote request, send us a message using our online General Information Request. form.

Contact us today for more information.

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