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CANADIANS FOR 40^YEARS Call Us at 1-800-332-1308 or 403-297-9400

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Motorcycle Insurance Quote

Call us at 1-800-332-1308 or fill out the form for a free Motorcycle insurance quote.

Motorcycle Insurance Quote

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Section

* Indicates Response Required

Your Motorcycle

Year of Motorcycle *

Make of Motorcycle *

Model of Motorcycle *

Displacement (cc’s) *

Do You Have A Class 6 License? *

If Yes, Number of years Licensed with a Class 6 License?

Estimated Value of Motorcycle *

Number of At-Fault Accidents in Last 6 Years (Motorcycle only) *

If you have an At-Fault Accident, what is the month and year (Motorcycle only)

Number of Traffic Convictions in the Last 3 Years (photo radar does not count) *

About You

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth (discounts available) *

Postal Code *

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