4620 Jog Rd. Greenacres FL 33467

(561) 433-5533

Roy-Roth Agency

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Name of the Insured

Address

Address

Street

Second Line

City

Zip Code

Country

State

Contact Phone

Email

Homeowner

Yes

No

Prior Insurance

Yes

No

Driver's Name

Single

Yes

No

Date of Birth

Driver 2 Name

Default label

Yes

No

Date of Birth

Vehicle

Make & Model

Year

Vin#

Vehicle 2

Make & Model

Year

Vin#

Bodily Injury

$10,000/$20,000

$25,000/$50,000

$50,000/$100,000

$100,000/$300,000

Property Damage

$10,000

$25,000

$50,000

$100,000

PIP

$10,000

Deductible

None

$250

$500

$1000

Uninsured Motorist

Yes

No

If Yes, What limit?

$10,000

$25,000

$50,000

$100,000

Medical Payments

None

$1000

$2,000

$5,000

Comprehensive?

Yes

No

If Yes, what deductible?

None

$250

$500

$1000

Collision?

Yes

No

If Yes, what deductible?

None

$250

$500

$1000

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Four People Inside the Car — Greenacres FL — Roy-Roth Agency

Smiling Family Sitting in The Car — Greenacres FL — Roy-Roth Agency

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CONTACT INFORMATION

Address: 4620 Jog Rd. Greenacres FL 33467

Phone: (561) 433-5533

Fax: (561) 433-8044

Email: herman@royroth.com

Business Hours:

Mon - Fri: 9:00 am - 5:00 pm
Sat - Sun: Closed

Payment Options

Visa Payment Accepted

MasterCard Payment Accepted

American Express Payment Accepted

Discover Payment Accepted

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Last Name

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Message

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