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Members Insurance Agency
 

Members Insurance Agency was established March 2005 as an additional service to our credit union members. As an independent Oklahoma agent, we want to help you find the best insurance for your specific needs at a rate you can afford. Our main goal is to offer friendly and professional insurance advice in a convenient location.

 
 
Tulsa Federal CU | MIA Quick Quote Request a free, no-obligation quote today!
First Name: Required.
Last Name: Required
Spouse's First Name:
(If applicable)
Spouse's Last Name:
(If applicable)
Property Address*:
Required
  Required
  RequiredInvalid
Phone Number: RequiredInvalid (000) 000-0000
E-mail: RequiredInvalid
Type of Home:
County:
Responding Fire Station:
Distance to Fire Station:
Distance to Hydrant:
On Standard Lot:
If not, how many acres:
Previous Address if
less than 3 years:
 
 
Current Carrier:
Any Claims past 5 years?
Dwelling Coverage Amount:
Deductible:
Any Special Limits/Coverage?
Year Built:
Square Footage:
Exterior Construction:
(ie: frame, brick, stone – % of each)
Updates to Home  
Roof:
Heating/Air:
Central Heat?  
If not, what type?
Wiring:
Plumbing:
Swimming Pool
If so:
Locked Fence:
Trampoline:
Net?
Dogs?
If so, Breed:
Business on Property?
If so, Explain:
Alarm (monitored/local:
Must have deadbolts, smoke detector, & fire extinguisher
Mortgage?
 
 
For more information contact Sue Riley

 
Email: sriley@rcins.com
Phone: (918)270-6790
Fax: (918)744-8429
9323 E 21st St., Suite 101, Tulsa, OK.
Orange Text Denotes required information.
 
*Currently available for Oklahoma residents only.

Consumer reports, including credit and insurance loss history reports, may be ordered in conjunction with this application. We may also obtain and use a credit-based insurance score developed from information contained in these reports. We may use a third party in connection with the development of your insurance score. These reports provide information that assists with determining your eligibility for insurance and the price you are charged.

 
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