What your customer needs to know

  1. Elite Service Pro partners with Auto Mate Insurance Solutions.
  2. Auto Mate is one of the highest-ranked private firms on the West Coast.
  3. Average customers save $960 each year!
 
 
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Get US accurate information

  1. Complete the form at the bottom of this page.  It will take 3 minutes.
  2. Be accurate.  Prices and offers will improve the better you do. Providing incomplete information can DOUBLE the time and effort of your customer.

they'll get an email with everything 

  1. They'll see how their cost compares to 27+ companies.  
  2. Our best price will be attached, saving an average of $960!
  3. A text will be sent when it's available for them to review
  4. An agent will call them to review.
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Signing up is simple 

  1. All info they need to start is in the email
  2. Professional agents are available 10a-7p, Monday-Saturday, at (503) 308-1414
  3. ID cards are emailed immediately
  4. Signatures can be completed on their phone or computer
Who asked you to complete this form?
Customer Name *
Customer Name
Cell Phone *
Cell Phone
Address *
Address
Be accurate so we can beat this
$
Date of birth *
Date of birth
Name & birthday of ALL other drivers
Accuracy is important
Year, Make, & Model
Enter NONE if none.
If you had prior coverage, how long have you been with them WITHOUT any sort of cancellation?
What "Bodily Injury" or liability limits have you had in the past
Homeowner? *
Other insurance we should look into? *
Our agents will review with you when they call
When does the customer need this?
Anything else we should know?