Ayres and French Sedona Insurance
Since 1952

 

Ayres and French Insurance, Inc.
People Serving People...

For all your Sedona Insurance Needs
reply@sedonainsurance.com    928-282-7191

Automobile Insurance
                                       

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  Dick French, Sr.

Dick French Sr.

   

    Betty French

Betty French

 

  Dick French, Jr.

Dick French, Jr.

 

  John K. French

John K. French

 

        Kathryn

kathryn

 

Cheryl Henriksen

Cheryl Henriksen

 

We're Here When You
Need Us!
 

Ayres and French for Sedona Insurance

Ayres and French Insurance, Inc.
Your Sedona Insurance Agency


A full-service Sedona Insurance Agency
providing coverage to Northern Arizona
since 1952.

    Automobile Insurance

 

 

John French and Kathryn talk about
Automobile Insurance.

Automobile Insurance is not only necessary, statutorily, from a liability standpoint but in most cases you would want to know you are protected if your car(s) sustains physical damage. Automobile insurance usually also covers Medical Payments to others and to yourself, and is included in most policies.

Laws vary in most states, but in Arizona you must have liability insurance. You also have the option to carry Uninsured Motorist and Underinsured Motorist to protect you if you are involved in an accident caused by an uninsured or underinsured motorist.

Liability insurance applies if you hurt or injure others and/or their property. Physical damage insurance applies if you damage your own vehicle (collision) or it is damaged from an outside source such as hail, wind, flood etc. (comprehensive).

We have the professionals in our office who specialize in these coverages ready to help and instruct you .

 

Automobile Insurance Quote Form

For the fastest and most accurate automobile insurance quote, please provide as much information as possible in the form below.

This information will be kept confidential and will be used for QUOTE PURPOSES ONLY!

 

General Information

Name:
Address:
City:       State:    ZIP:
County:
Day Phone:        Evening Phone:
Best time to call:   AM   PM       SSN: 
Email Address:

 

Current Auto Insurance Company (not agency):

Company Name:
Policy Exp. Date: / /
Premium: $
Term: 6 Months   1 Year   Other  

 

Vehicle Information: (include all cars you or your family members own or lease)

Car #1 Year Make Sub Model Body Type Vehicle ID# (VIN)
  Model  

Annual Mileage

Name of Title Holder

 Drive to school, work, station?
   Yes   No
# of miles (one way): 		Equipped w/ airbags?
Yes   No
Anti-theft devices?
Yes   No
If vehicle is kept at an address other than that listed above, please indicate:
Location City:   State:   Zip:
Car #2 Year Make Sub Model Body Type Vehicle ID# (VIN)
  Model  

Annual Mileage

Name of Title Holder

 Drive to school, work, station?
   Yes   No
# of miles (one way): 		Equipped w/ airbags?
Yes   No
Anti-theft devices?
Yes   No
If vehicle is kept at an address other than that listed above, please indicate:
Location City:   State:   Zip:
Car #3 Year Make Sub Model Body Type Vehicle ID# (VIN)
  Model  

Annual Mileage

Name of Title Holder

 Drive to school, work, station?
   Yes   No
# of miles (one way): 		Equipped w/ airbags?
Yes   No
Anti-theft devices?
Yes   No
If vehicle is kept at an address other than that listed above, please indicate:
Location City:   State:   Zip:

 

Driver Information:   (including all licensed drivers in your household)

Driver's Name Occupation/
Date of Birth/
Relationship to You		 Male/
Female		 Married/
Single		 Completed # of Yrs.
Licensed		 %
of Vehicle Use
  M / F M / S Drivers
Ed.
Course		 Accident
Prevent.
Course		 #1 #2 #3
Occupation:

Birth Date:

Relationship to You:
Self		 M
F		 M
S		 Y
N		 Y
N
Occupation:

Birth Date:

Relationship to You:

 

 M
F		 M
S		 Y
N		 Y
N
Occupation:

Birth Date:

Relationship to You:
 M
F		 M
S		 Y
N		 Y
N
Occupation:

Birth Date:

Relationship to You:
 M
F		 M
S		 Y
N		 Y
N

Must add to:  

100% 100% 100%

 

Driver History

If you answer "yes" to any of the following questions below, please explain in the space provided:

Has any driver listed:

1. Been convicted of any moving traffic violation in the past 3 years? Yes   No

If yes, please answer the following:

Driver Date Type of Conviction Time Fines MPH
Over Limit

2. Had his/her license suspended or revoked?  Answer only if "yes":

Driver Suspended Revoked
Yes Yes
Yes Yes
Yes Yes
Yes Yes

3. Been convicted of driving under the influence of alcohol or drugs? Answer only if "yes":

Driver Alcohol Drugs
Yes Yes
Yes Yes
Yes Yes
Yes Yes

4. Been involved in any accidents, regardless of fault, in the past 5 years?
Yes No  If yes, please answer the following:

Driver Date Cost Fines Injuries At Fault Time Description
Y
N		 Y
N
Y
N		 Y
N
Y
N		 Y
N
Y
N		 Y
N

 

Please give any additional comments about the coverage you desire:

   

Thank you for your time in submitting this automobile quote form. One of our representatives will respond to your submission as soon as possible!

 

 

Independent Insurance Agents

Ayres and French, Inc. is a member both of the Independent Insurance Agents and Brokers of Arizona and the Independent Insurance Agents of America.


Ayres & French Inc.
1785 W. 89-A
Sedona, AZ  86336

info@ayresandfrenchinc.com

Mail To:
Ayres & French, Inc.,
P.O. Box 990
Sedona, AZ  86339

928-282-7191
Fax: 928-282-7338
                    

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