Tanner, Ballew and Malloof, Inc.

Add a Vehicle

Submitted by*: First Name:    Last Name:
Company:
Location Code:
Email*:
Year: Make:
Model: Body Type:
Vehicle Identification Number:
Type:
Where vehicle will be garaged:
City: State:
Cost New: Radius of Operations:
Collision and Comprehensive Coverage
should be included:
If over 200 miles,
furthest destination of vehicle:
Insurance coverage is
required effective:
This vehicle is:
If this vehicle is leased or financed, please provided the Lessor's or Finance Company name and address:
THIS VEHICLE WILL BE ADDED TO YOUR POLICY WITH THE SAME LIMITS AND DEDUCTIBLES THAT YOUR POLICY CURRENTLY CARRIES.  IF CHANGES ARE REQUIRED, PLEASE SPECIFY HERE:
COVERAGE IS NOT BOUND UNTIL A CONFIRMATION OF THIS ACTION IS EMAILED TO YOU.
WE WILL ALSO PROVIDE AUTOMOBILE IDENTIFICATION CARDS BY MAIL.