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Automobile Quote For You


For your convenience we have created a simple Auto Quote form to obtain basic information on two drivers and two vehicles only. However, should you have more drivers or vehicles, or have a foreign driver's license please call directly at 702-463-3687 or email us separately at info@fantaxticservices.com. To get the most accurate quote please provide us with as much information as possible.  

Personal Information
First Name
Required
Last Name
Required
City
Required
ZIP / Postal Code
Required
Primary Phone Number
Required
E-Mail Address
Required
Date of Birth
Required
/ /
Marital Status
Required
License Number and State
Required
Vehicle Information
Year
Required
Make
Required
Model
Required
VIN #
Optional
Year
Required
Vehicle 2 Make
Required
Vehicle 2 Model
Required
Vehicle 2 VIN
Optional
Coverage Options
Do you rent or own your home?
Optional
Do you currently have insurance?
Optional
If no, when did you last have insurance?
Optional
/ /
Liability Limit
Optional
Vehicle 1 - Collision Deductible
Optional
Vehicle 1 - Comprehensive Deductible
Optional
Underinsured Motorist - Bodily Injury Limits
Optional
Uninsured Motorist Bodily Injury
Optional
Does this driver have any major violations (5yrs), accidents or minor violations (3yrs), comprehensive or collision claims (3yrs)?
Required
New Driver Information
Name (First, Last)
Required
Date of Birth
Optional
/ /
Gender
Optional
Marital Status
Required
Relationship
Required
License (State, Number)
Optional
Submission Validation
Required
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.


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Fantaxticservices.com
1205 S Eastern Ave
Las Vegas, NV 89104


Phone: (702) 463-3687
Fax: (702) 463-3690
Email: info@fantaxticservices.com
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