DO YOURSELF A FAVOR AND SAVE MONEY TODAY!!
 Simply fill out the form below and we will do the shopping for you. 
We do not share your personal information, including your e-mail address,
with anyone other than the insurance companies we represent.

Fields marked in red are required.

Motorcycle Quote Request

First Name

Last Name

Address

City

State

Zip

Phone

Email Address

Do you own your home?

YesNo

Present Insurance Company (If none, please type "None".)

Effective Date (if applicable) mm/dd/yyyy

Driver Information

Please include information for each driver to be covered.

Driver #1 Name

Driver #1 DOB (mm/dd/yyyy)

Driver #1 License No.

Driver #1 SSN (xxx-xx-xxxx)

Driver #1 Accidents/Violations 3 years (If none, please type "None".)

Driver #2 Name

Driver #2 DOB (mm/dd/yyyy)

Driver #2 License No.

Driver #2 SSN (xxx-xx-xxxx)

Driver #2 Accidents/Violations 3 years (If none, please type "None".)

Liability Information

These limits apply for all motorcycles covered.

Bodily injury per person/accident (including uninsured/underinsured at this limit)

Property Damage per accident

Motorcycle Information

Please include information for each motorcycle to be covered

Motorcycle #1 Year (YYYY)

Motorcycle #1 Make

Motorcycle #1 Model

Motorcycle #1 VIN

Motorcycle #1 CC's

Motorcycle #1 Value

Motorcycle #1 Collision Deductible

Motorcycle #1 Comp Deductible

Motorcycle #1 Roadside Assist

YesNo

 Motorcycle #2 Year (YYYY)

Motorcycle #2 Make

Motorcycle #2 Model

Motorcycle #2 VIN

Motorcycle #2 CC's

Motorcycle #2 Value

Motorcycle #2 Collision Deductible

Motorcycle #2 Comp Deductible

Motorcycle #2 Roadside Assist

Yes No

Your Comments

Please include any additional information.

Please enter the phrase above

motorcycle1.jpg 

Slash Your Insurance Rates! 
Local Insurance Agency Aggressively Saving North Carolina Families Thousands On Their Insurance.

Why do business with us?

  • Save Time & Money!  We do the shopping for you.
        Multiple National, Regional, and Local Carriers
  • One stop for all your insurance needs.
        Offering Auto, Home, Motorcycle, MobileHome,
        Renters/Rental Home, Commercial, Boat, RV
  • Great coverage!  Great rates!  Great service!
  • We work for YOU, not the insurance providers.
  • Licensed Agents with 100+ years experience.
  • Same day client coverage with Easy Monthly Payment Plans.
  • Transactions offered by Phone, Fax, E-mail, Mail, and In-Office.
Call today to experience the difference of Statewide Insurance!
704-821-7630 
5718 Hwy 74 West
Indian Trail, NC  28079
Across from Lowe's
                             statewide_081.jpg           

Providing all lines of insurance including auto insurance, home insurance, motorcycle insurance, boat insurance, mobile home insurance, commercial auto insurance, and more...

Offering coverage through multiple local, regional and national carriers that specialize in auto insurance and home insurance protection.