Request A Quote - Class Auto

Contact Information

First Name*:
Last Name*:
Address*:
City*:
State*:
Zip*:
Email*:
Phone*:

Deductibles & Options

Please select from the following deductibles and options. If other combinations are required or if you need additional assistance please skip this area of the request and contact us after submitting this form.

Bodily Injury Liability
Property Damage
Uninsured Mortorist
Medical Payments
Collision
Comprehensive

Vehicle Information

Make

Model

Value

Look up vehicle value

Vehicle Type

Stock
Vehicles that have NOT been modified in a way that increases the performance of and/or substantially changes the appearance of teh original vehicle; fundamentally "as built by the facotry" (with per minor changes, like 12 volt system instead of 6 volt).

Modified
Vehicles that HAVE been modified in a way that increases the performance of and/or substantially changes the appearance of the original vehicle (even later "stock" engines in earlier cars would qualify for this program). Replica vehicles would also be considered modified.

Exotic
Rare or "limited-production" vehicles that are 19 years old or newer, such as Ferraris, Lamborgini, Dodge Vipers, Plymouth Prowlers, etc.

Other Comments / Information

Review & Submit

Please take a minute to check back over the information that you entered to make sure that everything has been entered correctly. When you have confirmed the accuracy of the information above, please click the "Submit" button below.