holiday giveaway

holiday giveawayHere’s how it works: It’s a raffle that you enter by letting us quote your insurance policy. It takes about 4 minutes to enter. 

1) Connect to the contest by logging in with your Facebook or email account below. 

2) Once you’re connected, enter by sending us a copy of your insurance policy declaration page  (details below). You can increase your chances of winning the raffle by completing extra tasks listed below (sending us your declaration page is the only mandatory task for entry). The $500 winner will be chosen at random on Friday, December 20th and contacted via email.


Complete the tasks below for multiple entries into the giveaway.
a Rafflecopter giveaway


Submit your insurance policy declaration  page using the form below. Once you send us your declaration page we’ll give you a quote on your policy and a password to enter the giveaway. 

Your Name (required)

Your Email (required)

Your Phone (required)

Your Birthday



Check which type of policy you're attaching below.
 Auto Homeowners Renters General Liability Workers Comp Health


Attach a copy of your deck pages here


VIEW A SAMPLE INSURANCE DECLARATION PAGE (This is an example of an insurance declaration page – this is the only thing we need, we do not require a copy of your entire policy. The appearance of declaration pages can vary from one company to another.)

If you’d rather fax your declaration page,  fax it to 215-278-9641  with the memo “Holiday Giveaway” or you can drop it off in person at the office:  35 Letitia St, Philadelphia, PA 19106

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