Flood & Home Quote

Galaxy Insurance Service Inc
1001 East Pacific Coast Highway Suite 107
Long Beach, CA 90806
Phone (562) 591-8901 , Fax (562) 591-3901
http://www.galaxyinsurance.com/
csr@galaxyinsurance.com
CA Lic #0D44460

* = required field

Applicant Information
Description of Property
Security System
$
Coverage
$
*For Renter, Condominium & Flood Only