Contact Us: (541) 770-3383
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(541) 770-3383
1091 Medford Center
Medford, OR 97504
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Address
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Line 1
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Current or Prior Insurance Company
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Continuous Coverage
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Not Currently Insured
Under 6 Months
6 Months
12 Months
1 Year
2 Years
3 Years
3-5 Years
5-10 Years
10+ Years
Claims in 3 Years
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None
1
2
3
4+
Policy Expires In
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A few days
2 weeks
1 month
2 months
3 months
3-6 months
6+ months
Tickets in 3 Years
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1
2
3
4
5
6+
Coverage Desired
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State Minimum
Standard Coverage
Premium Coverage
Contents Coverage Desired
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None
$1000
$2000
$3000
$4000
$5000
$7500
$10,000+
Vehicle #1:
Year
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Make
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Model
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Annual Mileage
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5,000
7,500
10,000
12,500
15,000
20,000
25,000
30,000
40,000
50,000+
Collision Deductible
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$100
$250
$500
$1000
No Coverage
Is Vehicle Leased?
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Yes
No
Comprehensive Deduct
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$100
$250
$500
$1000
No Coverage
Vehicle #2 (if necessary)
Year (V2)
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Make (V2)
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Model (V2)
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Annual Mileage (V2)
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5,000
7,500
10,000
12,500
15,000
20,000
25,000
30,000
40,000
50,000+
Collision Deduct. (V2)
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$100
$250
$500
$1000
No Coverage
Is Vehicle Leased? (V2)
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Yes
No
Comp Deduct. (V2)
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$100
$250
$500
$1000
No Coverage
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