Join Our Team

If you are a licensed Agent in New York State and your Agency is interested in representing Genesee Patrons Cooperative Insurance Company please fill out the form below. We will have someone from our Marketing Department contact your Agency. Thank you for your interest in Genesee Patrons Cooperative Insurance Company.

Please provide the following contact information.

Name:
Agency Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Fax:
Email: