JC Taylor - Insuring Your Vehicle

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Please provide the following information. The * fields are required. Note: Our Modified insurance program is not currently available in the following states: MA / NC / LA / WA / HI. If you would like an Antique Auto quote instead, or in addition, click here.

Personal Information

First Name *	Middle Init	Last Name *

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Number of vehicles you wish to insure * :

For quotation on more than nine vehicles, please contact customer service at (800) 345-8290.

If the total value of the vehicle(s) is greater than $100,000, please call (800) 272-6785 for a quote. These vehicle(s) may qualify for special considerations.

I agree that my vehicle(s) will be used mainly in exhibitions, club activities, parades and other functions of public interest and will not be used primarily for the transportation of passengers or goods.

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