Mantha Insurance

Auto

Quotes - Snowmobile Insurance

Date of Birth:

	/		/
yyyy		mm		dd

Years licensed:

Any tickets in the last three years?

Yes

If yes, how many?

Any claims in last 6 years?

Yes

Apart from liability, what other coverage are you looking for with respect to the snowmobile?

Note: Comprehensive includes Vandalism, Missiles and Falling or Flying Objects whereas Specified Perils doesn’t

Year, make and model:

# of CC's

Approximate value of Snowmobile:

Current Insurance Company:

How many years with current insurance company

Do you belong to the OFSC?

Yes

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