Quote Form

This section is for Ontario residents only.



If you would like a quote please give us a call or drop us a line below.

Your Name:
E-Mail Address:
Street Address:
Postal Code:
Phone Number:
Method of Contact:
Help us serve you better. If you are currently insured with CIS Insurance, please provide us with:
Policy Number:
Insurance Company:
Type(s) of insurance for which you would like a quote:
Additional Information and Questions:



Copyright 1999 CIS Insurance Brokers (Canada) Ltd. All rights reserved.
Revised: June, 2010