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Rob Boyd, President and CEO A Message From the President
Hello, I'm Rob Boyd of Quote My Motorcycle Insurance.com. As President, I have made it our goal to find you the BEST PRICES on New York Motorcycle Insurance, and to make the process of buying your New York Cycle Policy EASY.

With over a decade of experience, I know you'll find our service and pricing second to none. Find out more about us and give us a call. We'll make you another satisfied member of our insurance family.

 
Motorcycle Quote Form
(for more than 1 bike or 1 driver)

About Our Agency
 

Service Request Form
 

Our Privacy Notice
 

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free New York Motorcycle insurance quote
On-Line Motorcycle
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
YOUR PERSONAL DATA:

Your Name:
Street Address:
City:
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Marital Status:
Single Married
Homeowner?
Yes No
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If no, type NONE)

 
DRIVER INFORMATION #1
Name: Birthdate:
Sex: # Years U.S.
 Auto License:
Do You Have a Cycle License? Yes
No 		If not, do you have a Cycle Permit? Yes
No
Are You a Member of a Cycle Club? (HOG, BMW, etc.) Yes
No 		Completed NY State Defensive Driving course in last 3 Years? Yes
No
 
Cycle Safety Course in last 3 years? # Years U.S.
 Cycle License:
 
List ALL Moving Violations and Accident Details in last 39 Months:

VEHICLE #1 INFORMATION
Year of vehicle: Make & Model:
VIN # (helps quote accuracy): # of CC's:
Value of Bike: $ Special Equipment Value: $
VEHICLE #1 COVERAGES:
Limits of
Liability:		 $25/50 BI / 15 PD
$50/100 BI / 50 PD
$100/300 BI / 50 PD
$250/500 BI / 100 PD
 
Comprehensive
& Collision:		 NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?		 Yes No   Uninsured
  Motorists Cov.?		 Yes No
 
 
DRIVER INFORMATION #2
Name: Birthdate:
Sex: # Years U.S.
 Auto License:
Do You Have a Cycle License? Yes
No 		If not, do you have a Cycle Permit? Yes
No
Are You a Member of a Cycle Club? (HOG, BMW, etc.) Yes
No 		Completed NY State Defensive Driving course in last 3 Years? Yes
No
 
Cycle Safety Course in last 3 years? # Years U.S.
 Cycle License:
 
List ALL Moving Violations and Accident Details in last 39 Months:

VEHICLE #2 INFORMATION
Year of vehicle: Make & Model:
VIN # (helps quote accuracy): # of CC's:
Value of Bike: $ Special Equipment Value: $
VEHICLE #2 COVERAGES:
Limits of
Liability:		 $25/50 BI / 15 PD
$50/100 BI / 50 PD
$100/300 BI / 50 PD
$250/500 BI / 100 PD
 
Comprehensive
& Collision:		 NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?		 Yes No   Uninsured
  Motorists Cov.?		 Yes No
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We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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