Tell us about yourself

How Would You Like us to Get a Hold of You?

If you are an agent looking for rate comparisons and you would like a no-commitment, custom set of sample quotes, please click here.

Your name: *

Your email: *

Your phone number: *

Your date of birth: *

Please add your spouse or partner's information

Their name: *

Their email: *

Their phone number: *

Their date of birth: *

Address Information

Please Enter the Address You Would Like to Insure

Address Line 1: *

Address Line 2:

City:
State:
Zip Code:

My mailing address is the same as above

Please Enter Your Mailing Address

Address Line 1:

Address Line 2:

City:
State:
Zip Code:

Policy Information

Tell us a little about the coverage you are looking for.

When would you like your policy to start? *

What are you Looking to Insure?

Calculate Coverages

Policy Confirmation

Here's Your New Quote

Your new policy is just a few clicks away. You can adjust your coverages, add a payment method, and you will be the newest member of the AFM Family!

Policy Premium

Summary

Adjust Coverage Amounts For Your Needs

Would you like to change your deductible?:

Personal Property Coverage ($5,000-$100,000):

Medical Coverage:

Personal Liability Coverage:

Would you like to add personal injury protection?

Would you like to add computer coverage?

Please Describe the coverage requested:

Certify and Confirm

We unfortunately do not currently support automatic policy creation for this type of policy, at this time. Please certify your information is correct by entering your full name, and someone from AFM will be with you shortly.

You will be redirected back to alamancefarmers.com after you click 'Submit'.

Your Full name:

I hereby certify that I have the authority to make this request by being accurately filling out my own personal information. This is not someone else's information.

By providing your date of birth and by checking this box, you are giving us permission to retrieve your credit information and loss history in order for us to provide you with the most accurate quote possible. This is a soft inquiry that will not impact your credit score.

Hang on while we find you the best rates...

Retrieving your address