Select Page

toronto insurance olutions

 

 

 

 

 

Home Insurance Online Quote

Homeowners Insurance Ontario

Home Insurance Online Quote

Homeowners Insurance Ontario

PERSONAL INFORMATION CLIENT CONSENT FORM

Personal Information Privacy and Electronic Document Act (PIPEDA) Consent

This form collects personal contact information so that we may correspond with you and provide the results of your quotation. It also collects underwriting information about your Auto, personal property and claim history. This information is required by the insurance company to provide a rate for Auto and Home insurance. It may be submitted to an insurance company for the single purpose of obtaining a quote. I give consent for the information provided in this form to be used by toronto insurance olutions and its representatives.

The online quote is presently under construction, however, if you complete the form below with the required fields and push send a registered insurance broker will contact you.

 

I have read and agree to the terms. (Please check Below )

Your Name (required)

Your Email (required)

Your Phone Number (required)

 

Contact

For an appointment to discuss your needs, contact me.

I will set up a time which is best suitable for you and will personally come to your workplace to discuss all of your insurance needs.

llevi@insureitgroup.com

toronto insurance olutions

Leon Levi (R.I.B LLQP)
Commercial Insurance Account Executive
INSUREIT GROUP INC
llevi@insureitgroup.com
800 Denison St, Suite 200
Markham, Ontario L3R 5M9
416-388-8918
905-752-3600 ext 513
905-752-3688

 

Share This