Antique quotation

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Vehicle type

Year

Make

Model

Cylinders

Original engine

Antitheft system

Purchase price or vehicle value (taxes included)

.00 $

Year of purchase

Year of birth ^ⓘ

Zip code

Phone number

First name

Last name

Orbit insurance services (formerly Leclerc)
1835, boulevard Lemire, bureau 110
Drummondville (Québec) J2C 5A6