Dune Buggy Insurance, Sand Rail Insurance, Sand Car Insurance

Broker Submitted Quotes

For these quotes, we will send you the quote rather than the client. Please complete the broker contact information on the top of the form.

DUNE BUGGY INSURANCE OR SAND RAIL INSURANCE QUOTE

(click here for street legal motorcycle quotes)

Broker Contact Info

First Name:

Last Name:

Agency:

Address:

City:       State:

Phone:                   Zip Code:

E-mail:

Confirm E-mail:

ABOUT THE DRIVER

First Name:

Last Name:

Address:

City:

County: Municipality (Ohio):

State:

Phone:                   Zip Code:

Birthday: <- very important

E-mail:

Confirm E-mail:

Home Status:

Gender:

VIN (if available): (17 digits)

Where can I find my VIN? (pop-up)

Drivers License:

Social Sec Num (Arizona and Nevada Only, for accurate quote, otherwise estimate)

Status Single   Married Widowed

.

ABOUT THE DUNE BUGGY OR SAND RAIL

Year:

Engine Liters or CCs: (example: 2.0L, 3.2L, 4.8L, 2000cc, 3200cc) IMPORTANT!
(NOT horsepower or number of cylinders)

Make:

Model: (or "custom")

Engine Manufacturer: (if known)

Engine Model: (If available)

Chassis: VW Chassis      Non-VW Chassis

We always quote uninsured motorist coverage, unless specifically instructed not to do so.

COVERAGE OPTIONS

Liability Limits:

Uninsured & Underinsured Motorist:

Kept in a locked structure?     Definition on the right -->

Deductibles:

Value: $ (current value in dollars)

Years of Experience: (with dune buggies)          (off road)

(with ATVs)                     (with Golf Carts)

M1 License: Yes     No     IF YES, When did you get it?

Usage:

Do you have insurance? (if yes, with which company)

Groups:

Groups #2:

Who referred you?

Please tell us if you have any tickets or accidents, when they were, and the type.

If you are not sure of exactly what you need, make sure to at least give us a description of your vehicle and we will send you a base quote that we can later adjust to find what is right for you.

Need help?

Is the unit kept in a fully enclosed, locked structure?

Definition: Vehicles kept (overnight garaging or long term storage) in a fully enclosed, locked garage or other fully enclosed, locked structure when they are not being used. Vehicles kept in a locked utility trailer or porch or kept chained in a carport or fenced yard do not meet this definition.

NO COVERAGE IS BOUND, OFFERED, ISSUED THROUGH THIS ELECTRONIC COMMUNICATION, ALL POLICIES MUST BE UNDERWRITTEN AND APPROVED BY THE CARRIER. DO NOT CANCEL YOUR CURRENT INSURANCE.

Dune Buggy Insurance - Sand Rail Insurance - Off Road Vehicle Insurance