Personal Quote Request

If you would like to request a quote, please fill out the form below and a Kape Insurance Agency representative will contact you soon to discuss your specific requests. Thank you and we look forward to serving your insurance needs. PLEASE NOTE: PERSONAL AUTO QUOTES ARE NOT AVAILABLE ONLINE AT THIS TIME. PLEASE STOP IN OUR OFFICE MONDAY THRU FRIDAY FROM 9:00AM - 4:00PM.

Contact Information:

* denotes required fields

Full Name	*
Address 1	*
Address 2
City	*
State	*
Zip	*
Phone	*
Contact Time	Morning Afternoon Evening
E-mail	*

Insurance Needs:

Tell us about your insurance needs. Please select the type of coverage you are interested in:

Homeowners/Condo/Renters Health
Disability Income Life
Flood IRA's
Rental Properties Personal Umbrella
Residence Employee Workers Compensation
Motorcycle/Mobil Homes/Boats/Antique Auto
Valuable Items Floaters (Jewelry, Furs, Fine Arts, Silverware, etc.)

Other

Please use the space below to specify motorcycle, mobile home, boat, or antique auto and list any specific valuable items. Also use the space below for any additional comments:

 

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510 Hamilton Blvd. South Plainfield, NJ 07080
Tel: 908.757.6666