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Saint James, New York insurance
 
 
 

Antique Auto & Hot Rod Insurance

Classic / Collector Car InsuranceWe are specialty car people with experience in all kinds of vehicle insurance needs. From a Restored Model "T" to AA/Fuel Dragster and everything in between. We have an appropriate and competitve market. Street Rods, Lead Sleds, Pro Street, Kit Cars, are not a problem.

Antique Auto & Hot Rod Insurance Quote Request

Please take a moment to fill out the form below and one of our local insurance agents will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.

* Required fields.

Personal Information
Full Name: *
Address:
City:
State:     Zip:
Phone: *  
Best Time To Call:   AM   PM
E-mail Address: *

Current Auto Insurance Information
Company Name:
(not agency)
Policy Expiration Date:   Premium Amt: $
Policy Term: 6 Months   1 Year  
Years Insured:

Vehicle Information (All cars you or your family members own or lease)
Veh
#1 		Year Make Model VIN
Veh
#2 		Year Make Model VIN
Veh
#3 		Year Make Model VIN
Veh
#4 		Year Make Model VIN

Deductibles
  Comprehensive Deductible Collision
Deductible 		Towing Rental
Reimbursement
Car #1 Yes Yes
Car #2 Yes Yes
Car #3 Yes Yes
Car #4 Yes Yes

Driver Information
  Driver 1 Driver 2 Driver 3
Name:
Relationship:
Drivers License No.:
State Issued:
How Long Licensed:
Date of Birth:
Claims and Accidents in past 3 years - include date, amount paid, description)


Excess Liability
Personal
Umbrella Coverage:		 Yes  No Amount:

Additional Comments or Questions

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Please click the "Submit Quote Request" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.



 
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