Motorcycle Insurance Quote

Your name*

Address*

The motorcycle insurance program is available to Ontario residents only

Street Address City Postal Code

Email*

Phone

Year, make & model

Number of CCs*

Purchase Date

Purchase Price

Alarm System

Annual Kilometres

# of Kilometres to work one way

Third Party Liability (choose a limit)

Collision (choose a limit)

Comprehensive (choose a limit)

Date of Birth*

When did you first obtain your current motorcycle licence?

What type of motorcycle licence do you hold?*

Have you taken a safety course?*

Yes

Yes, by the time insurance is in place

No

How many traffic tickets (not parking tickets) have you had in the last 3 years?

How many claims have you had in the last 6 years?

Additional Comments

Comments

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Motorcycle Insurance Quote Ontario