Recreational Vehicle Quote Request

Insured Information
Contact Name
Address
City
State
Zip
County
Email*
Home Phone Number
Date of Birth
Which local agency would you like to use?*

Motorcycle Insurance Questionaire
Please note: If the bike is homemade, assembled from after-market components and accessories or a kit; or if it has a state-assigned Vehicle Identification Number (VIN), we cannot give you an estimate online. Instead, please contact your local office between 8:30 a.m. and 5:00 p.m., Eastern time Monday through Friday.
1.	Is any motorcycle used for any business or commercial purpose including rental or lease to others?	Yes No
2.	Is any motorcycle used in organized racing, speed contests or stunts?	Yes No
3.	Does any motorcycle use a nitrous oxide system?	Yes No
4.	Is any motorcycle powered by an automobile engine?	Yes No
5.	Is any operator's driver's license suspended, canceled or revoked?	Yes No
6.	Are you the titled owner of all the motorcycles?	Yes No
7.	Are you a resident of Maine?	Yes No

Off-Road Vehicle/ATV Insurance Questionaire
1.	Is any off-road vehicle used for any business or commercial purpose including rental or lease to others?	Yes No
2.	Is any off-road vehicle used in organized racing, speed contests or stunts?	Yes No
3.	Does any off-road vehicle use a nitrous oxide system?	Yes No
4.	If the vehicle is not a dune buggy, is it powered by an automobile engine?	Yes No
5.	Is any operator's driver's license suspended, canceled or revoked?	Yes No
6.	Are you the titled owner of all the off-road vehicles?	Yes No
7.	Are you a resident of Maine?	Yes No

Watercraft Insurance Questionaire
Years of Boating Experience
Previous boats owned
Name of prior Insurance Agency
Any boating claims?	Yes No
Watercraft Information
Type
Engine Type
If a power boat, how many passengers can it accomodate?
Make
Model
Year
Length
Value
Navigation Area
Lay up Months
Trailer Value (If Applicable)
Automatic Fire Extinguisher
Engine Information

Size
Make
Year
Model
Liability Amount


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Motorcycle Insurance Questionaire