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Add or Remove Motorcycle to/from Existing Policy
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Personal Information
First Name
Last Name
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CA
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Alternate Phone Number
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Motorcycle Information
Year
2016
2015
2014
2013
2012
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2009
2008
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2002
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1905
1904
1903
1902
1901
1900
Make
Model
VIN#
Cylinder
4
5
6
8
10
12
CC's
Coverage
Liability Only
Comprehensive
Comprehensive & Collision
Comprehensive Deductible
250
500
1000
Collision Deductible
250
500
1000
Ownership
Financed
Leased
Owned
How many miles will you drive your motorcycle annually?(approximately)
What percentage of your vehicles total use time is driven by you?
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
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