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Replace Vehicle

Name(s) of insured(s)
Prior Vehicle
New Vehicle
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Any non-factory modifications to the vehicle:
Any unrepaired damage:
Is vehicle leased/financed:
Will replacing this vehicle result in changes in use of other vehicles owned:
Driver #1
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Driver #2
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Driver #3
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Effective Date
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About Your Insurance (Specify the policy to which this change applies)

Disclaimer

Only the person named as the insured in the policy documents can make changes to the policy. By submitting this form, you acknowledge that you are the policyholder and are authorized to make changes to your information.

Please be advised that coverage cannot be bound nor can any additions or deletions to coverage be made by leaving a voice mail message, email message or by submitting this form. Coverage is only confirmed once you have spoken directly with a licensed insurance broker.

If you have not received an acknowledgement within one business day, please contact our office and speak directly to one of our licensed insurance brokers. Mink Insurance Services Ltd. is not responsible for instructions not received. All policy terms and conditions apply, subject to policy status at time of submission.

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Did You Know

CHRISTMAS & NEW YEARS HOLIDAY SCHEDULE:

        Mon Dec 24th   OPEN 8:30 - Noon
        Tues Dec 25th  CLOSED
        Wed Dec 26th   CLOSED
        Thurs Dec 27th  Reg Hours 8:30 - 5:00
        Fri Dec 28th       Reg Hours 8:30 - 5:00
        Sat Dec 29th      CLOSED
        Sun Dec 30th     CLOSED
        Mon Dec 31st     OPEN 8:30 - 2:00pm
        Tues Jan 1st       CLOSED
        Wed Jan 2nd      Reg Hours 8:30 - 5:00

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