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Thank you for choosing Crown Superior insurance agency. Please submit form to finalize your policy request. Use this form to finalize payment on a new policy or to reinstate your cancelled policy or to update your payment or policy information.

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Account refers to the payment method you are using today to finalize this policy

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Enter your payment/ down payment amount from your quote or the amount given to you by representative over the phone. Leave blank if you are not sure of the exact amount and the agency will enter it for you or leave blank for existing monthly payments.

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Split payments are not always acceptable. It depends on the policy. Please confirm with your representative. Thank you.

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(should be different from yours if cardholder name is different)

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Enter your payment/ down payment amount from your quote or the amount given to you by representative over the phone. Leave blank if you are not sure of the exact amount and the agency will enter it for you or leave blank for existing monthly payments.

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Most quotes already include a discount for automatic payments. If "None" was selected you will lose this discount and your rates will go up and your quote will change.

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This is necessary for full cvoerage auto or renters or homewowners insruance. If not given already please submit here.

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Enter full name and address

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Pictures are only mandatory for full coverage or uninsured motorist coverage

When taking pictures please stand far enough away from the vehilce to capture the entikre side or esle picture will not be usable. Thank you.

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Please upload a clear pic of your drivers license.

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Sometimes insurance companies ask for proof of address. This can be in the form of a Utility bill, a lease or tax property documents or title for home.

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Please upload proof of ownership of your vehicle. This can be the bill of sale, title or proof of registration.

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About Crown Superior

Established in 2011 we have over 10 years experience finding the lowest quotes for our customers. Call us today or submit a quote online and we will find you the most affordable quote that we can.