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My Broker: 100 Mile House
403-932-3454 | Change Location

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Welcome to the Western Coast Insurance FAST Path Form

FAST Path Form

It’s easy. It’s only one page and takes one minute. One of our insurance brokers will contact you in 15 minutes.

It’s easy. It’s only one page and takes one minute. One of our insurance brokers will contact you shortly.

Step 1: Please pick a product:

Step 2: Select one of the options:

Need an insurance quote
Service Request
Talk to an insurance expert

Step 3: Tell me more about your insurance needs:

Step 4: Fill in your contact information:

First Name
Last Name
City/Town
Province
Postal Code
Phone Number
Email
Preferred Method of Contact
Attach a file
Please indicate your consent
By selecting this checkbox, I/we agree to all the terms and conditions required for the purpose of requesting a quote.

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YOU COULD WIN $10,000 CASH!

Entering our Quote-to-Win contest is as easy as filling out our home insurance form or contacting your local Western Coast Insurance broker.

At Western Coast Insurance Services, we provide optimized business/personal insurance products and services (Autoplan) across our 29 branch locations on Vancouver Island and the Lower Mainland. A division of Western Financial Group since 2013, we put you and our people at the heart of all we do.

Click to learn more about the contest rules and regulations.

Please ask our team members for more details when they contact you.

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