If you have more than one cart, please tell us about the second car in the additional information section.

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ABOUT YOUR GOLF CART or LSV
Year:		CCs: (if applicable)
Make:
Model:
Type of Vehicle:	CHOOSE ONE Street Legal - with a license plate Not Street Legal - only used off road/golf course/gated community
Engine Type:	(if known)
Usage:
	(examples: golf course, offroad, street usage, hauling, etc.)
Liability Limits:	CHOOSE ONE 15,000/30,000/5,000 - Minimum 30,000/60,000/25,000 25,000/50,000/15,000 50,000/100,000/25,000 100,000/300,000/50,000 250,000/500,000/100,000
Uninsured Motorist Limits:	CHOOSE ONE NONE 15,000/30,000/5,000 - Minimum 30,000/60,000/25,000 25,000/50,000/15,000 50,000/100,000/25,000 100,000/300,000/50,000 250,000/500,000/100,000
Coverage Types:	Liability Only Quote    Full Coverage
Deductibles:	None CHOOSE ONE LIABILITY ONLY - I do not want full coverage $250 $500 $750 $1000 $2000
Motorcycle License:	Yes  No    If yes, when did you get it?
Do you have insurance on your cart?	(if yes, with which company)
Groups:	CHOOSE ONE NONE American Dune Buggy / Sand Association ABATE AMA - American Motorcycle Association BRAG - Buell Riders Adventure Group BMWMOA - BMW Motorcycle Owners of America Ducati Unlimited GWRRA - Gold Wing Road Riders Association HOG RAT - Riders Association Triumph STAR Riders Association Honda Riders Club of American
Groups #2:	CHOOSE ONE NONE American Dune Buggy / Sand Association ABATE AMA - American Motorcycle Association BRAG - Buell Riders Adventure Group BMWMOA - BMW Motorcycle Owners of America Ducati Unlimited GWRRA - Gold Wing Road Riders Association HOG RAT - Riders Association Triumph STAR Riders Association Honda Riders Club of American
	Please tell us if you have any tickets or accidents, when they were, and the type. (Last 3 years)