PALANAS INSURANCE SERVICES – OROQUIETA

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

We Provide Insurance That Covers All Your Needs
We are The Young, Enthusiastic Team of Professionals here to help.
GENERAL INSURANCE – MOTORCAR – CTPL – FIRE – PROPERTY – ENGINEERING – BONDS

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

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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 OROQUIETA, PLEASE SELECT ABOVE YOUR CITY/MUNICIPALITY AND PROVIDE DETAILS BELOW

TYPE OF VEHICLE

OTHERS – PLEASE SPECIFY

REQUIRED TYPE OF INSURANCE

OTHERS, PLEASE SPECIFY

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For immediate assistance, please contact PALANAS INSURANCE SERVICES c/o Ms. Pia Palanas at (088) 531-0475 or at 0927 892 8904 or email us at palinserv@yahoo.com or palanas.pia@yahoo.com.

OFFICE ADDRESS

PUROK 6, TALIC, OROQUIETA CITY
7207 MISAMIS OCCIDENTAL
TEL NO: (088) 531-0475
EMAIL ID: palinserv@yahoo.com