Thank you for you interest in Auto Insurance at Gaines Insurance. We want to ensure that we can provide the best policy for you so please fill out the form below and submit the completed copy to our office. You can simply print and mail the form to our office at 2260 Lava Ridge Court #101 Roseville, CA 95661 or email the form as an attachment to info@GainesIns.com. We also will accept a fax of the form at (916) 773-8004. Our staff will get back to you promptly. If you have any additional questions please call our office at (916) 773-8000.