Wagner Insurance Agency | Kettering Insurance Agency - Connect With Us and Save

Dayton Office
937.223.2232
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West Milton Office
937.698.4124
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Kettering Insurance
937.299.2299
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We are pleased to offer you the convenience of the internet combined with outstanding, personal service. To connect with us and save, please complete the online form below.

CONTACT INFORMATION
Name	Current Insurance Company
Address	City
State	Zip
Phone (please include area code)	Email
Type of Insurance Needed (check all that apply) PERSONAL Homeowner's Renter's Personal Umbrella Health Disability Auto Motorcycle BUSINESS Business Insurance Business Group Benefits
-- Please complete applicable sections below and then click SUBMIT FORM! --

FOR HOMEOWNER'S or RENTER'S INSURANCE QUOTE
Own or Rent	Type of Home	Year Built

FOR PERSONAL AUTO or MOTORCYCLE INSURANCE QUOTE
Driver 1 Name	Driver 1 Social Security #
Driver 2 Name	Driver 2 Social Security #
Driver 3 Name	Driver 3 Social Security #
Driver 4 Name	Driver 4 Social Security #

VEHICLE 1
Make	Model	Year	VIN#
VEHICLE 2
Make	Model	Year	VIN#
VEHICLE 3
Make	Model	Year	VIN#
VEHICLE 4
Make	Model	Year	VIN#

FOR BUSINESS INSURANCE QUOTE
Company Name	Number of Employees

Payroll Amount	Annual Sales	# of Vehicles Owned by Company
Business Description

Why Choose Wagner?

For over 60 years, we have found the right coverage at the right price for our people. Today over 3,500 families put their trust in the Wagner Insurance Agency, and we thank them for their continuing support in our ability to insure

them against, and shelter them from, personal and financial catastrophes.

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