Boy Scouts of America - BSA auto insurance

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BSA, Boyscouts, Boy Scouts of America, BSA Forms, BSA Guide, Boy Scout Forms, Boy Scout Merit Badges, BSA Badges, Boy Scout Guidebook, Boy Scout Manual

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views:: 90
posted:: 5/19/2008
language:: English
pages:: 1

Public Domain

Document Sample

							CERTIFICATE OF AUTO INSURANCE
VEHICLE 1
Make of Vehicle_________________ Kind____________________ Year___________ Number of passengers with seat belts: _________ Owner _________________________________________________________________ Driver License Number____________________________________________________ Name of Insurance Company_______________________________________________ Coverage: Each person $________________ Each Accident $________________ Property Damage $________________ (Suggested Coverage) $50,000 $100,000 $50,000

VEHICLE 2
Make of Vehicle_________________ Kind____________________ Year___________ Number of passengers with seat belts: _________ Owner _________________________________________________________________ Driver License Number____________________________________________________ Name of Insurance Company_______________________________________________ Coverage: Each person $________________ Each Accident $________________ Property Damage $________________ (Suggested Coverage) $50,000 $100,000 $50,000

Signed___________________________________________ Date________________
Signature of owner