New York Insurance quotes from Corsitto Insurance Agency
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Welcome to
CorsittoAgency.com! low cost new york insurance from the Corsitto Agency
Located in downtown Seaford,
we are a family owned agency
proudly serving our clients
and our community for
over 50 years! We offer
complete insurance services
for all of your personal and
commercial needs.

  Why Corsitto?
"It's a Name You Can Trust!"

Corsitto Insurance is an Independent Agency, Dedicated to Serving YOU!
We represent several leading insurance companies rather than any single provider. Therefore, we have the ability to continually monitor the marketplace and offer you the best possible rates.

Our goal is to provide you the highest level of customer service and dedicate our resources to meet your needs and earn your trust. Our success is based on your continued satisfaction.

 
On-Line Motorcycle
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
YOUR PERSONAL DATA:

Your Name:
Street Address:
City:
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Marital Status:
Single Married
Homeowner?
Yes No
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If no, type NONE)

 
DRIVER INFORMATION #1
Name: Birthdate:
Sex: # Years U.S.
 Auto License:
Cycle Safety Course? # Years U.S.
 Cycle License:
Number & Type of
Accidents within
last 3 years:		 Number & Type of
MINOR violations within
last 3 years:
Number & Type of
MAJOR violations within
last 3 years:		 Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?		 Yes No Comments or
Remarks?
 
DRIVER INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Auto License:
Cycle Safety Course? # Years U.S.
 Cycle License:
Number & Type of
Accidents within
last 3 years:		 Number & Type of
MINOR violations within
last 3 years:
Number & Type of
MAJOR violations within
last 3 years:		 Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?		 Yes No Comments or
Remarks?

VEHICLE #1 INFORMATION
Year of vehicle: Make & Model:
Is this a 4 Wheeler?: If Yes, Describe:
Annual Mileage: # of CC's:
Value of Bike: $ Special Equipment Value: $
VEHICLE #1 COVERAGES:
Limits of
Liability:		 $15/30 BI / 10 PD
$25/50 BI / 15 PD
$50/100 BI / 50 PD
$100/300 BI / 50 PD
 
Comprehensive
& Collision:		 NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?		 Yes No   Uninsured
  Motorists Cov.?		 Yes No
 
VEHICLE #2 INFORMATION (if none, leave blank)
Year of vehicle: Make & Model:
Is this a 4 Wheeler?: If Yes, Describe:
Annual Mileage: # of CC's:
Value of Bike: $ Special Equipment Value: $
VEHICLE #2 COVERAGES:
Limits of
Liability:		 $15/30 BI / 10 PD
$25/50 BI / 15 PD
$50/100 BI / 50 PD
$100/300 BI / 50 PD
 
Comprehensive
& Collision:		 NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?		 Yes No   Uninsured
  Motorists Cov.?		 Yes No

Send my quotation via: E-Mail Fax
Regular Mail
Call Me by Phone


 
Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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Motorcycle Quote NOW!

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we are independent insurance agents in New York
Corsitto Insurance Agency
3900 Merrick Road | Seaford, NY 11783
Phone: 516-783-0400 | Fax: 516-783-0431
Contact Us
we are a trusted choice agency!

Corsitto Agency.com is an agency with highly qualified professionals committed to finding the best coverages and prices for
your New York Homeowners, Auto and Business insurance. We give instant New York Insurance quotes, and fast online homeowners, auto,
and business insurance quotes for all New York residents. Some of the keywords which can be used to find our services include:
New York Homeowners insurance, New York waterfront home insurance, NY house insurance, New York auto insurance, NY car insurance
NY business insurance, business owners insurance, New York commercial insurance, New York insurance rates, NY discount insurance prices,
and other New York insurance Products. Please contact us for a free, no obligation New York Insurance Quote today!

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