Snowmobile Insurance Quote

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Snowmobile Insurance Quote Application

Take a few minutes and provide us with a few facts about the snowmobile(s) you want to insure. Please note that this does not constitute a binding agreement but rather provides us with information that allows us to provide you with some options. We make every attempt to contact you by the next business day.

Before you begin your request, you should gather:

The declaration page from your current snowmobile insurance policy you're considering replacing.
Complete information on the model you're buying (for a new purchase).

Any information you submit is strictly confidential, and will not be shared with any other individuals or organizations.

General Information

Name (Titled Owner):
Mailing Address:
City:	State:	Zip:
Physical address where snowmobile is registered or principally operated.
Street:
City:	State:	Zip:

About the Snowmobile(s)

Snowmobile "Book" values are available at www.nada.com
Unit#	Year	Make	Model	cc's	Purchase Date
1
Vehicle ID Number
Current Value
2
Vehicle ID Number
Current Value
3
Vehicle ID Number
Current Value
4
Vehicle ID Number
Current Value

About the Driver(s)

	Driver 1	Driver 2	Driver 3
Name
Date of Birth
Sex
Marital Status
Driver's License Status
Drivers License	Number State None	Number State None	Number State None
Completed a Snowmobile Safety Course	Yes	Yes	Yes
Year Started Driving	Autos Snowmobiles	Autos Snowmobiles	Autos Snowmobiles
Indicate date and type of any accidents and/or violations in the last 40 months. These questions help us get you get the lowest price on snowmobile insurance!	Violation or Accident 1 Date	Violation or Accident 1 Date	Violation or Accident 1 Date
	Accident 1 Type	Accident 1 Type	Accident 1 Type
	Violation or Accident 2 Date	Violation or Accident 2 Date	Violation or Accident 2 Date
	Accident 2 Type	Accident 2 Type	Accident 2 Type
	Violation or Accident 3 Date	Violation or Accident 3 Date	Violation or Accident 3 Date
	Accident 3 Type	Accident 3 Type	Accident 3 Type
Are you a member in good standing with a snowmobile club? (Proof will be required) If yes, name of club?
On your primary residence, do you?
Do you have other policies these companies? (Multi-policy discounts could apply) American Modern Home Insurance Co. Foremost Insurance Co. Progressive Insurance Company
Do you have snowmobile insurance in place on your snowmobile(s) currently? (A transfer discount could apply) If Yes: What insurance company is your snowmobile coverage with? What is the expiration date of your current snowmobile policy? mm/dd/yyyy
Do you have continuous Auto Liability insurance on your car for the past 6 months?
What snowmobile do you drive?
Snowmobile 1
Snowmobile 2
Snowmobile 3
Snowmobile 4

Bodily Injury and Property Damage
Liability Limit For All Scheduled Snowmobiles

This coverage is required by law in many states and in Canada. It covers damage you may cause to other people's property and injuries to the people themselves. Passenger Liability is included at no additional cost. Please select the limit you desire.

LIABILITY:	Bodily Injury Per Person/Bodily Injury Per Accident/Property Damage Liability
	25,000/50,000/10,000 (Least expensive)
	50,000/100,000 /25,000
	100,000/300,000/50,000
	250,000/500,000/100,000 (Most expensive)

Optional Medical Payments Coverage

This optional coverage covers medical payments for those injured with a covered snowmobile. A $50 deductible applies.

$1,000

$2,000

$5,000

Optional Comprehensive and Collision Coverage

Collision covers damage to your snowmobile if it collides with another object or rolls over. Comprehensive covers damage or loss (including theft) other than collision. Collision cannot be purchased without comprehensive coverage.

Snowmobile 1	Comprehensive	Collision
Snowmobile 2	Comprehensive	Collision
Snowmobile 3	Comprehensive	Collision
Snowmobile 4	Comprehensive	Collision

Optional Transport Trailer Coverage

If you elect to insure at least one snowmobile for both comprehensive and collision coverage, then you are eligible for snowmobile trailer comprehensive and collision coverage including theft.

To include comprehensive and collision on your snowmobile trailer, check the box below and fill in all the information. Remember, you must have both comprehensive and collision on at least one snowmobile. (The serial number or VIN can be given to us later.)

(Fill in trailer information below)

Trailer Information

Year	Make	Serial Number	Model (if known)

Purchased Date	Purchase Price of the Trailer	Current Value of the Trailer

How Can We Reach You?

E-mail Address
PhoneNumber	Best Time to Call AM PM
Questions / Comments:

We will make every attempt to contact you within one business day.
You can call us at 1-800-562-6036.

PLEASE REVIEW ALL INFORMATION BEFORE SUBMITTING

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Sled Insure is wholly owed by licensed independent property and casualty insurance agent / broker T. Samuel Hoye,
First Credit Corporation of New York, Inc. 21 North Main Street, Gloversville, NY 12078