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ABOUT THE SEGWAY |
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COVERAGE OPTIONS |
Liability: |
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Uninsured Motorist: |
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We
try quote uninsured motorist coverage, unless specifically
instructed not to do so. |
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Coverage Types: |
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Deductibles: |
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Accessories Coverage: |
$ Amount of accessories:
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Antitheft: |
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Current Coverage: |
If you have insurance, what do you currently pay and with whom?
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Groups: |
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Groups #2: |
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License Status: |
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Safety Course Completed: |
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Please tell us if
you have any tickets and/or at-fault accidents. List the dates,
types, and if available, violation number. |
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Do you have any additional information, special coverage needs or questions to ask? |
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Did you complete your birthday and zip code? These
are crucial to us obtaining an accurate quote. Make sure to check your
"junk" or "spam" boxes, as our quotes sometimes go there. Thank you! |
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