Bianchi   Insurance    -   Defensive Driving Course

We come to your facility and provide your members / employees with 10% off their Auto Insurance
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Print an return this page completed to us or simply copy and paste it into an email to     cnyins@gmail.com    

     How many participants will there be? _________________

     The Date you would like us to come and present the class__________________ 

Classroom Facility Information

Name of Facility: ______________________________________________________________

Address: _____________________________________________________________________

City: _______________________ County:____________ ZIP:______ Phone:_____________

Dimensions:               Length:_________  X  Width:_________ = Total:__________

 

Please indicate/draw the following: Doors/Exits; TV/VCR; Board/Easel; Restrooms; Tables/Chairs

 

 

 

 

 

 

 

 

 

  

 

  

This course entitles principal drivers a 10% reduction on their auto liability, collision, and no fault premiums for 3 years.

The course also offsets up to 4 points for infractions that occurred in the last 18 Months before the course.*    

                                                          Attendance: NY requires that you be on time & present for the entire six hours in order to qualify for the insurance and point reduction benefits.