Skip to primary navigation
Skip to main content
Skip to footer

Insurance
- FAQ
About
Newsletter Sign-up

Our commitment is to provide you with competitively priced, superior insurance products with the highest quality service.

Login
Get a Quote

Automobile Insurance Quote

Tracking
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a member of a Mennonite Church?*
- Yes
- No
Name of church where you are a member:*
Number of Drivers:*
Please enter a number from 1 to 6.
Number of Vehicles:*
Please enter a number from 1 to 6.
Driver 1
Name*
First Last
Date of Birth:*
Date Format: MM slash DD slash YYYY
Occupation:*
Year Licensed:*
Discounts*
- Good Student (GPA 3.0+)
- Mature Driver (Course Completion Required)
- None
Moving violation in the last 5 years?*
- Yes
- No
Accidents in the last 5 years?*
- Yes
- No
Marital Status:*
Driver 2
Name*
First Last
Date of Birth:*
Date Format: YYYY dash MM dash DD
Occupation:*
Year Licensed:*
Discounts*
- Good Student (GPA 3.0+)
- Mature Driver (Course Completion Required)
- None
Moving violation in the last 5 years?*
- Yes
- No
Accidents in the last 5 years?*
- Yes
- No
Marital Status:*
Driver 3
Name*
First Last
Date of Birth:*
Date Format: YYYY dash MM dash DD
Occupation:*
Year Licensed:*
Discounts*
- Good Student (GPA 3.0+)
- Mature Driver (Course Completion Required)
- None
Moving violation in the last 5 years?*
- Yes
- No
Accidents in the last 5 years?*
- Yes
- No
Marital Status:*
Driver 4
Name*
First Last
Date of Birth:*
Date Format: YYYY dash MM dash DD
Occupation:*
Year Licensed:*
Discounts*
- Good Student (GPA 3.0+)
- Mature Driver (Course Completion Required)
- None
Accidents in the last 5 years?*
- Yes
- No
Moving violation in the last 5 years?*
- Yes
- No
Marital Status:*
Driver 5
Name*
First Last
Date of Birth:*
Date Format: YYYY dash MM dash DD
Occupation:*
Year Licensed:*
Discounts*
- Good Student (GPA 3.0+)
- Mature Driver (Course Completion Required)
- None
Accidents in the last 5 years?*
- Yes
- No
Moving violation in the last 5 years?*
- Yes
- No
Marital Status:*
Driver 6
Name*
First Last
Date of Birth:*
Date Format: YYYY dash MM dash DD
Occupation:*
Year Licensed:*
Discounts*
- Good Student (GPA 3.0+)
- Mature Driver (Course Completion Required)
- None
Accidents in the last 5 years?*
- Yes
- No
Moving violation in the last 5 years?*
- Yes
- No
Marital Status:*
Vehicle 1
Vehicle Year:*
Vehicle Make:*
Vehicle Model:*
VIN*
Driver(s):*
Annual Mileage:*
Desired Comprehensive Deductible:*
Desired Collision Deductible:*
Desired Bodily Injury Liability Limits:*
Desired Property Damage Limits:
Is the vehicle altered?*
- Yes
- No
Vehicle 2
Vehicle Year:*
Vehicle Make:*
Vehicle Model:*
VIN*
Driver(s):*
Annual Mileage:*
Desired Comprehensive Deductible:*
Desired Collision Deductible:*
Desired Bodily Injury Liability Limits:*
Desired Property Damage Limits:
Is the vehicle altered?*
- Yes
- No
Vehicle 3
Vehicle Year:*
Vehicle Make:*
Vehicle Model:*
VIN*
Driver(s):*
Annual Mileage:*
Desired Comprehensive Deductible:*
Desired Collision Deductible:*
Desired Bodily Injury Liability Limits:*
Desired Property Damage Limits:
Is the vehicle altered?*
- Yes
- No
Vehicle 4
Vehicle Year:*
Vehicle Make:*
Vehicle Model:*
VIN*
Driver(s):*
Annual Mileage:*
Desired Comprehensive Deductible:*
Desired Collision Deductible:*
Desired Bodily Injury Liability Limits:*
Desired Property Damage Limits:
Is the vehicle altered?*
- Yes
- No
Vehicle 5
Vehicle Year:*
Vehicle Make:*
Vehicle Model:*
VIN*
Driver(s):*
Annual Mileage:*
Desired Comprehensive Deductible:*
Desired Collision Deductible:*
Desired Bodily Injury Liability Limits:*
Desired Property Damage Limits:
Is the vehicle altered?*
- Yes
- No
Vehicle 6
Vehicle Year:*
Vehicle Make:*
Vehicle Model:*
VIN*
Driver(s):*
Annual Mileage:*
Desired Comprehensive Deductible:*
Desired Collision Deductible:*
Desired Bodily Injury Liability Limits:*
Desired Property Damage Limits:
Is the vehicle altered?*
- Yes
- No
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Footer

PO Box 878
1110 J St., Reedley, Ca 93654
559.638.2327
mennonite@mennoniteinsurance.com

Quick Links

Insurance Types
Report a Claim Form
Payments
Scholarships
About
FAQ
Contact Us

Search this website

Driver 1

Driver 2

Driver 3

Driver 4

Driver 5

Driver 6

Vehicle 1

Vehicle 2

Vehicle 3

Vehicle 4

Vehicle 5

Vehicle 6

Footer

Quick Links