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Felix Insurance Planning
Add A Vehicle
Due to insurance company regulations, no coverage is effective until you receive a notice from us or the insurance company that it has been completed.
Current Auto Policy Number:
Name on the Policy:
Full Name of Driver (if other than insured):
Phone Number:
Cell Phone Number:
Email Address:
Effective Date of Policy Change (mm/dd/yyyy):
Vehicle Identification Number (VIN):
New Vehicle Year:
Make of New Vehicle:
Select...
Acura
Aston Martin
Audi
BMW
Buick
Cadillac
Dodge
GMC
Honda
Hummer
Hyundai
Isuzu
Jeep
Kia
Land Rover
Lincoln
Mercedes
Mercury
Mini
Nissan
Oldsmobile
Pontiac
Saturn
Toyota
Volkswagen
OTHER - Not Listed
New Vehicle Model:
Is this a Purchase or Lease?
Purchase
Lease
Purchase Price:
Lien Holder/Loss Payee Name:
Lien Holder Address:
Garage Address:
Vehicle Usage:
Vehicle Usage:
Select
Pleasure
To/From Work
Business Use
Other
Miles to Work (One Way):
Do You Want Coverage for Damage to This Car?
Yes
No
If 'Yes' Please Select Deductibles Below:
Comprehensive Deductible:
Please Select
$100
$250
$500
$1000
Other
Collision Deductible:
Please Select
$100
$250
$500
$1000
Other
Did You Trade in a Vehicle When You Bought This One?
Yes
No
If "Yes" What Vehicle Did You Trade In?
Select All Applicable Options and Coverages:
Anti-Lock Brakes
Car Alarm
Air Bags
Rental Coverage
Towing Coverage
Comments or Other Instructions:
Choose the method of confirmation you would like to receive:
Email
Snail Mail
Do not enter anything in this field:
