We offer a wide range of Flexible Policies in areas including:
Transportation Property Life and Health Commercial Annuitys
  • Please call (612) 735-7426 for more information.
* Free Rate Quotes Available

 
Motorcycle Insurance Quote
 
Driver Information  
First Name:
Last Name:
Daytime Phone #:
Evening Phone #:
E-mail Address:
  
Street Address:
City:
State:
Zip:
Gender:
Male    Female
Status:
Married    Single
Date of Birth:
 

Primary Insured  
First Name:
Last Name:
Date of Birth:
SSN:
DL:
 
First Name:
Last Name:
Date of Birth:
SSN:
DL:
 
First Name:
Last Name:
Date of Birth:
SSN:
DL:
 
Do you have any Tickets/Accidents on your record in the past 3 yrs:
Insured:
Other Driver(s)

Do you have Motorcycle insurance at this time?  
Yes Continuous coverage for 6 months or more?
 No Has it lapsed more than 30 days?
With which company?
Payment (Premium) $
Deductible
  

Do you carry Homeowners or Renters Insurance?  
Yes Continuous coverage for 6 months or more?
 No Has it lapsed more than 30 days?
With which company?
Payment (Premium) $
Deductible
  

Do you have Auto insurance at this time?  
Yes Continuous coverage for 6 months or more?
 No Has it lapsed more than 30 days?
With which company?
Payment (Premium) $
Deductible
  

Vehicle(s) you want to insure  
1.YR Make Model CC's
2.YR Make Model CC's
3.YR Make Model CC's
Coverage desired:  
Full Coverage
Deductible
 
Limits
State Minimum
(30/60/10)
Preferred contact method
Preferred contact time

       

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For a FREE Specialized Quote, please call (612) 735-7426
E-mail us at quote@phalanxindustry.com

Registered Representative and Financial Advisor of Park Avenue Securities LLC (PAS), (920 Second Avenue South, Suite 1100, Minneapolis, MN 55402) Securities products/services and advisory services are offered through PAS, a registered broker-dealer and investment advisor, (612-746-2200) Financial Representative, The Guardian Life Insurance Company of America (Guardian), New York, NY. PAS is an indirect, wholly owned subsidiary of Guardian. Foster Klima & Company, Inc. is not an affiliate or subsidiary of PAS or Guardian.

PAS is a member FINRA, SIPC.

The Living Balance Sheet® and the Living Balance Sheet® Logo are registered service marks of The Guardian Life Insurance Company of America (Guardian), New York, NY. The graphics and text used herein are the exclusive property of Guardian and protected under U.S. and International copyright laws. © Copyright 2005-2014, The Guardian Life Insurance Company of America.

The Guardian Life Insurance Company of America (Guardian), New York, NY, its subsidiaries, agents or employees do not give tax or legal advice. You should consult your tax or legal advisor regarding your individual situation.