Online snowmobile insurance quoteHomeOnline snowmobile insurance quote Soumission motoneige #5First NameSurnameRecreational Vehicle Type- Select -SnowmobileQUADSIDE-BY-SIDEMember FQCQ (Fédération Québécoise des Clubs Quads) FCMQ (Fédération des clubs de motoneigistes du Québec)PreviousNextAddressAddress Line 1Address Line 2TownZip codePhone/mobileEmailPreviousNextYear of the vehicleVehicle make and modelNumber of CCsPrice paidPreviousNextCurrent or previous insurerNumber of claims 5 years- Select -None1 complaints2 complaints3 and moreDriving licence for how many years:- Select -More than 5 years1 year2 years3 years4 yearsNumber of traffic violations- Select -None1 complaints2 complaints3 and moreDo you have a criminal record and/or driver's license suspension and/or been terminated or denied by an insurance company in the last 5 years? YesPreviousNextYou could save more on your insurance! J'autorise Assur360 et assureur concerné à utiliser les informations que j'ai fournies pour procéder à une vérification automatique de ma cote de crédit, tant pour une mise à jour que pour le renouvellement de ma police. Je comprends que cela n'impactera pas ma cote de crédit. I will notYour date of birthYour occupationDo you have a criminal record and/or driver's license suspension and/or been terminated or denied by an insurance company in the last 5 years? Avez-vous un dossier criminel et/ou une suspension de permis de conduire et/ou été résilié ou refusé par une compagnie d’assurance au cours des 5 dernières années ?The information collected in this section allows us, among other things, to pre-qualify for your insurance needs and potentially provide you with an insurance quote. The information provided is stored in order to meet legislative and regulatory requirements. In addition, by filling out the form, you consent to our use, communication or sharing internally and externally (in particular with partner firms and/or insurers) and that we retain this information. I agreeI would like to subscribe to the Assur360 newsletter for its contests, promotions and information I would like to subscribe to the Assur360 newsletter for its contests, promotions and informationAdditional InformationEnregistrer et reprendrePreviousSoumettre la demande
