Classic Bike

Do you have a Classic Scooter or Motorcycle?  Get insurance with STATED value coverage.  Call us or submit the form below and we can provide pricing right away.

Classic Bike Quote

1. Your Name(required)
2. Birth Date(required)
3. Driver License Number (optional)
4. State that issued License
5. Email(valid email required)
6. Phone Number
7. Bodily Injury Preferred Limits
8. 25/50 (State Min) 50/100
   100/300 250/500

Current Address

1. Street Address
2. City(required)
3. State
4. Zip Code

Current Bike Insurance

1. Current Auto Insurance Carrier

Second Driver Info

1. Name
2. Birth Date
3. Drivers License Number (optional)
4. State that issued License
5. Relationship Not Applicable Spouse Child Family Member Friend Business Associate Other (Pls comment below)

Bike #1 Info

1. Make & Model
2. VIN or Serial #
3. Vehicle's Stated Value
4. Collision Deductible No Collision Coverage $1,000.00 $500.00 $250.00
5. Comprehesive Deductible No Comp Coverage $1,000.00 $500.00 $250.00 $100.00 $50.00 $0.00 (No Deductibles)
6. Car Rental Re-imbursement No Coverage $20.00 Daily $30.00 Daily $40.00 Daily $50.00 Daily
7. Towing $100.00 No Coverage
8. Medical Coverage No Coverage $1,000.00 $2,500.00 $5,000.00 $10,000.00 $25,000.00 $50,000.00 $100,000.00

Bike #2 Info

1. Year
2. Make & Model
3. VIN or Serial #
4. Vehicle's Stated Value
5. Collision Deductible No Collision Coverage $1,000.00 $500.00 $250.00
6. Comprehensive Deductible No Comp Coverage $1,000.00 $500.00 $250.00 $100.00 $50.00 $0.00 No Deductible
7. Car Rental Re-imbursement No Coverage $20.00 Daily $30.00 Daily $40.00 Daily $50.00 Daily
8. Towing $100.00 No Coverage
9. Medical Coverage No Coverage $1,000.00 $2,500.00 $5,000.00 $10,000.00 $25,000.00 $50,000.00 $100,000.00

Comments

1. Other Information
2. Please input picture's text into box

 

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