Free Motorcycle Insurance Quote for California from Cowell and Smith.com

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Look At These LOW Auto Insurance Rates!
(Starting Rates for California)

Recent Accounts Quoted & Sold		Cost Per Month

19 Year old single male; clear driving record, liability only.		only $60.00

30 Year old married couple on 2006 Honda Accord, full coverage.		only $63.00

26 year old male, basic liability.		only $29.00

19 Year old male with 5 minor moving violations, liability only.		only $86.00

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   Cowell and Smith Agency

   (Monterey Office)
   2250 N Fremont Street
   Monterey, CA 93940

   PHONE: 831-372-5800

   (Salinas Office)
   1860 N Main St., Suite A
   Salinas, CA 93906

   PHONE: 831-442-5800

   CA Ins. License# 0676558

   FAX: 831-442-1237

   E-MAIL US AT:
   quotes@cowellandsmith.com

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California insurance from the Cowell and Smith Agency

Online 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 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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