Vacation Trailer Quote Sheet
 
Instructions: Please fill in the following information and a Qualified Johnston Meier Insurance Representative will contact you with your quote. 

Note: Quoted prices are only valid within the Province of British Columbia, Canada.

1.
Type of Unit
2.Year Built
3.Trade Name
4.Model
5.Length
6.Serial Number
7.Deductible required 
8.Value of your Recreational Vehicle
9.Type of Coverage required
10.Have you had any losses in the
last 3 years?
Yes No
     If so, give details & claims amount
     paid by the insurance company:
.
Contact Information
Name
Address
City
Postal Code
Email Address
Telephone #
Fax #