PALANAS INSURANCE SERVICES – DIPOLOG CITY

MOTORCAR & CPTL INSURANCE, HOME INSURANCE, PROPERTY & FIRE INSURANCE, ENGINEERING INSURANCE, BUSINESS INSURANCE, PERSONAL ACCIDENT & LIABILITY INSURANCE, MARINE INSURANCE, LIFE INSURANCE

PLEASE FILL OUT THE FORM TO OBTAIN A QUICK MOTOR INSURANCE QUOTE AND OUR REPRESENTATIVE WILL GET IN TOUCH WITH YOU.

PALANAS INSURANCE SERVICES
OROQUIETA CITY – ONLINE FORM
OZAMIS CITY – ONLINE FORM

← Back

Thank you for your response. ✨

FIRST NAME

LAST NAME

GENDER

MOBILE NUMBER

LAND LINE NUMBER

EMAIL ID

NAME OF BARANGAY

PUROK NUMBER

STREET NAME (IF APPLICABLE)

CITY / MUNICIPALITY

IF ADDRESS IS OUTSIDE DIPOLOG, PLEASE SELECT ABOVE YOUR CITY/MUNICIPALITY AND PROVIDE DETAILS BELOW

TYPE OF VEHICLE

OTHERS – PLEASE SPECIFY

REQUIRED TYPE OF INSURANCE

OTHERS, PLEASE SPECIFY

CLICK HERE TO GO BACK TO PALANAS INSURANCE SERVICES – MAIN PAGE

For immediate assistance, you may contact PALANAS INSURANCE SERVICES at (088) 531-0475 or at 0927 892 8904 or email at palinserv@yahoo.com.

Land Transportation Office – Dipolog
Zamboanga Del Norte Provincial Capitol, Gonzales Street, General Luna Street, Dipolog City, 7100, Philippines
office Hours: 8AM – 5PM (Monday to Friday)
Phone: +63 65 212 6971