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Brownell Insurance Center, Inc.
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Welcome to Your Ballpark Insurance Quote

This estimate is based on but not limited to the following major factors:

  1. A combination of information you enter, please be as complete as possible.
  2. Proof of prior insurance.
  3. Your insurance score …
    1.  There are many factors used to determine your score. Some of the more common factors are:
      1. Payment history (delinquencies or late payments)
      2. Length of time of credit history (when was your credit
         history established?)
      3. Type(s) of credit (credit cards, finance company installments, etc.)
    2. When determining your score, gender, marital status, age, ethnicity, address and income are not considered.
  1. The VIN (Vehicle Identification Numbers) of your vehicles.
  2. The driving records of all drivers in the household.
  3. Age or driving experience of drivers.
  4. The usage of your vehicles.
  5. Claim history.
  6. Garaging location of vehicles.
  7. Homeownership and the availability to package home and auto insurance together for added discounts.

Please note: Completing this quote form you are giving the Brownell Insurance Center the authority to secure the necessary reports required by our companies to secure a quote.

You will be called in 1 to 2 business days by one of our agents.

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ATVs/Segways/Golf Carts Quote Form

* Required Information

Personal Information

(If more than three vehicles, please call us at: 603-437-1992 to obtain a quote.)
(If more than five operators, please call us at: 603-437-1992 to obtain a quote.)

Driver #1 Information

Driver #2 Information

Driver #3 Information

Accidents/Violations Information

Vehicle #1 Information

Vehicle #2 Information

Vehicle #3 Information

Policy Coverages

Brownell Insurance Center, Inc. • 5 Nashua Road, Londonderry, NH 03053
Phone: 603.437.1992 • Fax: 603.437.4846 •


Hampton Office • 860 Lafayette Road, Unit 2, Hampton, NH 03842
Phone: 603.296.0077 • Fax: 603.296.0079

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