Keller Insurance Agency
Barry Keller - Owner
P.O. Box 715
Warren, Pa 16365
(814) 726-0305
Serving Clients Since 1926
Home
#1 - Save up to 40% on
Car Insurance
#2 - Business Opportunity
Make a nice income from home!
#3 - Annuities
#4 - Mobile/ Modular Home Insurance
New and Vintage Homes
#5 - Homeowners Insurance
#6 - Auto Insurance
#7 - Motorcycle
Insurance
#8 - Travel Trailer
Insurance
#9 - Life Insurance
#10 - Long Term Care
#11 - Funeral Trust
#12 - Are you a church or a
registered nonprofit organization?
Use our fund raising program
and make $100 per sale!
#13 - Buy Avon
Products Here
Contact Us
Request an Auto Insurance Quote
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First Name**:
Last Name**:
Address**:
City**:
State **:
Zip Code**:
Phone**:
Email**:
Date of Birth**:
Year of Vehicle**:
Make**:
Model**:
Type of Vehicle:
Sedan/ Coupe
Station Wagon
SUV
Van
Truck
VIN Number**:
Number of Doors**:
Number of Cylinders**:
Is vehicle used for pleasure only?:
Yes
No
Driver's License number and state**:
Accidents and Violations- Year and details-**:
Only list one violation per line.
If over 55, have you taken 55 alive course?:
Yes
No
Who carries your auto insurance now?**:
How long have you been with current company?**:
When does your present insurance expire?**:
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