Email:
jon@s1vg.com
Phone
(360) 460-0926
Headquarters:
Sequim, WA
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jon@s1vg.com
(360) 460-0926
Car Insurance
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Car Insurance
Car Insurance
General Information
Driver Information
Vehicle Information
Discount Details
Full Name
phone number
email
Address
ZIP Code
State
Alabama
Alaska
Arizona
City
Policy Start Date
Primary Residence
Alabama
Alaska
Arizona
City
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First Name
Last Name
Sex
Male
Female
License Number
Do you know your Merit Rating Points?
Yes
No
Merit Rating Points
Motorcycle License / Permit
Yes
No
Is a Student
Yes
No
Driver Training
Yes
No
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Vehicle Type
Private Passenger
Motorcycle
Year
Make
Primary Driver
Garaging Town
Primary Use
Pleasure
Business
Registration Number
Annual Miles
Coverage
Minimum (Bodily Injury: $25,000/$50,000; Property Damage: $50,000)
Basic (Bodily Injury: $50,000/$100,000; Property Damage: $50,000)
Standard (Bodily Injury: $100,000/$300,000; Property Damage: $100,000)
Premium (Bodily Injury: $250,000/$500,000;Property Damage: $100,000)
Collision Deductible
Comprehensive Deductible
Substitute Transportation
Towing and Labor
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Do you have rental insurance?
Yes
No
Payment Method
Pay in Full
EFT
Other
Member of Motor Club?
AAA
Other
None
Member since when?
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