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952-746-1003

3249 Hennepin Ave S, Suite 253
Minneapolis, Minnesota 55408

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Add or Remove a Vehicle

ATC Agency

Contact Information

First & Last Name ✶

Email ✶

Phone ✶

Policy Information

Name on Policy ✶

Desired Effective Date ✶

Type of Change ✶

Add a Vehicle

Remove a Vehicle

Replace a Vehicle (add one, remove one)

Vehicle to Remove

Year ✶

Make ✶

Model ✶

Vehicle to Add

Year ✶

Make ✶

Model ✶

Primary Driver Name

VIN

required to complete this change

Name on Title

Purchase Date

Ownership

Lease Loan Own

Loan/Lease Company Name

Loan/Lease Company Address

Desired Coverage ✶

Same as Other Vehicles Not Sure Other

Coverage Description

Anything Else?

Comments

Binding Agreement

I understand that insurance coverage is not bound or altered until I receive confirmation by an authorized representative of ATC Agency ✶

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About Us

ATC Agency is an independent insurance agency located in Minneapolis, Minnesota.

Give us a call, stop by, or request a quote online to find out how much we can save you on your insurance.

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Contact Us

3249 Hennepin Ave S, Suite 253
Minneapolis, Minnesota 55408
952-746-1003
952-746-1050
info [at] atcagency [dot] com
info [at] atcagency [dot] com
Mon-Thu 10am-6pm
Fridays, 10AM - 5PMSaturdays, By appointment