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Comerica Insurance - Online Inquiry Form

Inquiry Information

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Input is requiredPlease select one:
Input is requiredMy question / request:
 
 

Business Information

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Input is requiredBusiness name:
Input is requiredIndustry:
Input is requiredAnnual sales volume:
 
Input is optionalAre you currently a Comerica customer?
I am a Corporate customer 
Input is optionalWho is your Comerica contact?
 
 

Contact Information

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Input is requiredFirst name:
 
Input is optionalM.I.
 
Input is requiredLast name:
 
Input is requiredJob title:
Input is requiredCountry:
Input is requiredPlease contact me via:  
 Email 
 Fax 
 Phone 
 Postal service 
Input is optionalFax number:
- -
Input is optionalFax number:
Input is optionalFax number:
Input is optionalAddress line 1:
Input is optionalAddress line 2:
Input is optionalCity:
 
Input is optionalState:
 
Input is requiredZip code:
-
 
Input is optionalAddress line 1:
Input is optionalAddress line 2:
Input is optionalMunicipality:
 
Input is optionalProvince:
 
Input is requiredPostal code:
 
Input is optionalAddress line 1:
Input is optionalAddress line 2:
Input is requiredPostal code:
 
Input is optionalLocality:
 
Input is optionalProvince:
 
Input is optionalPostal address:
Input is requiredEmail address:
Input is optionalPhone number:   Input is optionalExtension:
- -  
Input is optionalPhone number:
Input is optionalPhone number:
Input is requiredBest time(s) to contact me:  
Morning 
Afternoon 
Evening 
 
 


DISCLOSURES:
Insurance and annuity products are offered through various licensed insurance agencies, including affiliates of Comerica Incorporated. Insurance and annuity products are NOT insured by the FDIC or any government agency; are NOT deposits or obligations of, or guaranteed by Comerica Bank or any of its affiliates; are not guaranteed by any person soliciting the purchase of or selling the policies; and Comerica is not obligated to provide benefits under the insurance contract. Insurance products may lose value; and are solely the obligation of the issuing insurance company. Not all products available in all states. Variable annuities are made available through Comerica Securities.