Svij@milestoneinsure.com
+1 973-588-5137
110 N. Beverwyck Road, Lake Hiawatha, NJ 07034
Mon-Fri: 8:30-5:00
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Home
Classic Car Insurance Quote
Classic Car Insurance Quote
Vehicle Information
Primary Vehicle
Primary Vehicle
Year
Make
Model
Annual Mileage
5,000
7,500
10,000
12,500
15,000
20,000
25,000
30,000
40,000
50,000+
Comprehensive Deduct
No Coverage
$100
$250
$500
$1000
Approximate Value
Collision Deductible
No Coverage
$100
$250
$500
$1000
Additional Vehicles
Vehicle #2 (if necessary)
Year (V2)
Make (V2)
Model (V2)
Annual Mileage (V2)
5,000
7,500
10,000
12,500
15,000
20,000
25,000
30,000
40,000
50,000+
Comprehensive Deduct (V2)
No Coverage
$100
$250
$500
$1000
Approximate Value (V2)
Collision Deduct. (V2)
No Coverage
$100
$250
$500
$1000
Driver Information
Primary Operator
Primary Operator
Primary Driver Name
Gender
Male
Female
Married?
Yes
No
Date of Birth
Status
Employed
Student
Retired
Other
Additional Operator
Driver Name #2 (if necessary)
Driver Name (D2)
Gender (D2)
Male
Female
Married? (D2)
Yes
No
Date of Birth (D2)
Status (D2)
Employed
Student
Retired
Other
Additional Information
First Name
Last Name
Address Line 1
Address Line 2
Address Line 3
City
State
Zip Code
Country
Email
Phone Number
Current or Prior Insurance Company
Continuous Coverage
3+ Years
2 Years
1 Year
12 Months
6 Months
Under 6 Months
Not Currently Insured
Policy Expires In
Not Sure
A few days
2 weeks
1 month
2 months
3 months
3-6 months
6+ months
Claims in 3 Years
1
2
3
4+
Tickets in 3 Years
1
2
3
4
5
6+
Coverage Desired
Standard Coverage
Premium Coverage
State Minimum
Message