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16 Reasons to Use Our Agency!

1. We offer a 100% Client Satisfaction "TRIPLE" Money Back Guarantee!

2. The best coverage at the lowest price.

3. FREE Quotes from Wisconsin's leading companies.

4. Internet quotes returned within 24 hours.

5. FREE 24 Hour, 7 Day claims service

6. OVER 98 Discounts available.

7. All Phone Calls returned within 1 Hour.

8. Client claims matters responded to within 1 Day.

9. NO pressure - No hassle written guarantee!

10. Free Annual Policy Reviews

11. Same-day SR-22 Filings for high risk drivers.

12. Convenient payment plans.

13. All policies come with a local agent.

14. 103 Years of combined insurance experience on staff.

15. One-stop shopping...We are SPECIALISTS in Car and Homeowners Insurance.

16.FREE Client consumer reports (auto, home, claims, life) and much, much, MUCH more!

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Questions?
Ask the agent:

mrautoinsurance
@hotmail.com

 

Phone:
414-225-4434

Fax #:
414-225-6250

Our Service Center
Office Address:

Young's Insurance
788 N Jefferson#720
Milwaukee, WI 53202

Click For Directions

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WI insurance quotes - call us today
 
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 Wisconsin)
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 violations within
last 3 years:
Number & Type of
MAJOR violations 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 violations within
last 3 years:
Number & Type of
MAJOR violations 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


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Regular Mail
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Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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Motorcycle Quote NOW!


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