California Motorcycle Insurance Quotes from Adams Avenue Insurance Agency

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10 Reasons Why You Should Use Adams Avenue Insurance Agency:

1. The best coverage at the lowest price.

2. Instant phone quotes for most products.

3. Low down payments.

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5. Internet quotes returned within 24 business hours.

6. We have carriers that will insure houses with prior claims and that are in brush areas.

7. Rates are shopped exclusively for you with 25+ auto and home insurance companies.

8. Huge discounts on ALL insurance products!

9. Our experience allows us to match you with the carrier that best meets your needs.

10. We have been saving our customers money on insurance since 1988.

On-Line Motorcycle Insurance Quote Form One Simple Form - takes only 2-3 Minutes! YOUR PERSONAL DATA:
Your Name:
Street Address:
City:
State:	MUST be California!
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):

Marital Status: Single Married	Homeowner? Yes No

Currently Insured? (If yes, list carrier, and # of years continuous. If no, type NONE)

DRIVER INFORMATION #1

Name: Birthdate:

Sex: # Years U.S.
Auto License:

Cycle Safety Course? # Years U.S.
Cycle License:

Number & Type of
Accidents within
last 3 years: Number & Type of
MINOR Cites within
last 3 years:

Number & Type of
MAJOR Cites within
last 3 years: Daily commute
in ONE WAY miles:

Does Driver need
an SR22 FILING? Yes No Comments or
Remarks?

DRIVER INFORMATION #2 (if none, leave blank)

Name: Birthdate:

Sex: # Years U.S.
Auto License:

Cycle Safety Course? # Years U.S.
Cycle License:

Number & Type of
Accidents within
last 3 years: Number & Type of
MINOR Cites within
last 3 years:

Number & Type of
MAJOR Cites within
last 3 years: Daily commute
in ONE WAY miles:

Does Driver need
an SR22 FILING? Yes No Comments or
Remarks?

VEHICLE #1 INFORMATION

Year of vehicle: Make & Model:

Is this a 4 Wheeler?: If Yes, Describe:

Annual Mileage: # of CC's:

Value of Bike: $ Special Equipment Value: $

VEHICLE #1 COVERAGES:

Limits of
Liability: $15/30 BI / 10 PD
$25/50 BI / 15 PD
$50/100 BI / 50 PD
$100/300 BI / 50 PD

Comprehensive
& Collision: NO Coverage $250 Deductible
$500 Deductible $1000 Deductible

Do you want
Medical Coverage? Yes No   Uninsured
  Motorists Cov.? Yes No

VEHICLE #2 INFORMATION (if none, leave blank)

Year of vehicle: Make & Model:

Is this a 4 Wheeler?: If Yes, Describe:

Annual Mileage: # of CC's:

Value of Bike: $ Special Equipment Value: $

VEHICLE #2 COVERAGES:

Limits of
Liability: $15/30 BI / 10 PD
$25/50 BI / 15 PD
$50/100 BI / 50 PD
$100/300 BI / 50 PD

Comprehensive
& Collision: NO Coverage $250 Deductible
$500 Deductible $1000 Deductible

Do you want
Medical Coverage? Yes No   Uninsured
  Motorists Cov.? Yes No

Send my quotation via: E-Mail Fax
Regular Mail
Call Me by Phone

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Adams Avenue Insurance
9114 Adams Ave., Suite 144
Huntington Beach, CA 92646
Phone: 1-714-593-1914 / Fax: 1-866-832-4186
E-Mail us at: dave@adamsaveins.com