Countryside Insurance Agency, Inc.
Family Owned Independent Insurance Agency Since 1976


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    		•  Request A Quote

    Required fields listed below in bold type.

    Name::
    Company Name:
    Address:
    City:
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    Zip:
    Phone Number:
    E-mail Address:
    Best Time To Call:
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    Please Mark The Coverages That You Are Interested In:
    Homeowners
    Personal Auto
    Motorcyles
    Boats/Recreational Vehicle(s)
    Commercial
    Life
    Health
    Do You Have Existing Coverage?
    If Yes, current coverage desired and endorsements?
    Commercial (Please answer the following questions.)
    Type of Business:
    Number of Employees:
    Additional Comments:





    Call us first to insure that you are properly covered. The quote is free. What do you have to lose?


    Countryside Insurance Agency, Inc.
    303 East Spring Street, New Albany, IN 47150
    Phone: 812-945-9123 / 800-330-9123       Fax: 812-945-2207