Contact:(337) 942-6784
Email:info@acadianiainsurance.com
Find us:9384 Highway 182
Opelousas, LA
Email:
info@acadianiainsurance.com
Contact:
(337) 942-6784
Find us:
9384 Highway 182
Opelousas, LA
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(337) 942-6784
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General Information
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phone number
email
Address
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State
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Primary Residence
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First Name
Last Name
Sex
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Merit Rating Points
Motorcycle License / Permit
Yes
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Is a Student
Yes
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Driver Training
Yes
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Vehicle Type
Private Passenger
Motorcycle
Year
Make
Primary Driver
Garaging Town
Primary Use
Pleasure
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Registration Number
Annual Miles
Coverage
Minimum (Bodily Injury: $25,000/$50,000; Property Damage: $50,000)
Basic (Bodily Injury: $50,000/$100,000; Property Damage: $50,000)
Standard (Bodily Injury: $100,000/$300,000; Property Damage: $100,000)
Premium (Bodily Injury: $250,000/$500,000;Property Damage: $100,000)
Collision Deductible
Comprehensive Deductible
Substitute Transportation
Towing and Labor
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Do you have rental insurance?
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Payment Method
Pay in Full
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Member of Motor Club?
AAA
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None
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