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Type of transportation
Antique/Collector Boat
Antique/Collector Motorcycle
Auto
Motorcycle
Boat
RV
Name
Address
City, State, Zip code
Phone, fax, email
Dates of Birth - Name
License #'s - name
social security #
Married or single
Residence (discounts apply)
Rent
Own Home
Live w/Parents
Accidents or tickets within last 3 years
Previous insurance carrier
Previous insurance
No lapse in coverage
1-15 days lapse in coverage
No prior insurance
Vehicle: year, make model
Engine cc's - vehicle
Vehicle vin #'s
Liability insurance
20/40/25
50/100/50
100/300/50
100/300/100
please inquire regarding higher liability quotes
Comprehensive coverage
$500 deductible
$500 deductible with glass coverage
$1000 deductible
$1000 deductible with glass coverage
No comprehensive coverage
Additional comprehensive deductibles
Collision coverage
$500 deductible
$1000 deductible
No collision coverage
Additional Coverages
Towing
Rental
Have taken a motorcycle safety course?
Yes
No
Do you belong to a motorcycle club?
Yes
No
Comments
Information Disclosure NO SPAM: Please note that we will not rent, sell, or trade your information. Your private information is kept secure!
I have read the above
Do you belong to an auto club?
yes
no
Insurance
Call Centers Open
24 hours a day/7 days
a week
Your call will be returned within
15 minutes
if associate is on another line.
Phone:
888-505-4089 (toll free)
Phone:
860-399-2200
fax:
860-736-2002
email:
bestratesins@gmail.com
Hours:
Mon - Fri: 9AM - 5PM
Sat: Call Center: 888-505-4089
Sun: Call Center: 888-505-4089
Motorcycle Events - CT
Insurance Call Centers Open