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Figure Your Own Rates. .. Save
THESE TWO PAGES constitute your "do-it-yourself" insurance application form.
If you have any questions or need any assistance in filling out this form, visit,
telephone or write to your nearest Nationwide office shown below. A trained
representative will be pleased to assist you ... no agent will call for Nationwide
is not sold thru agents in this region.
NOTE, PLEASE; Rates on this application apply to ALL of Montana EXCEPT the
city areas shown in white on maps in the upper right corner of the application.
SPECIAL NOTE TO WYOMING RANCHERS AND FARMERS; If you live in
Wyoming, write to the Casper office listed below for a Wyoming self-rating
A NEW WAY TO BUY— Fi gure your own premium rates from
this simplified self-rating application form . . . then mail in
application and payment to your local Nationwide office. You
buy only the coverage you wq^an^eed.
A NEW WAY TO SA
APPLICATION and QUARTERLY COST for all MONTANA RANCHERS and FARMERS
ELIGIBILITY ; To be eligible for ranch rates, you
must live on a ranch or farm of 5 acres or more
and be engaged only in ranching. If not eligible
for ranch rates or if you live in any of the areas
included on the white areas of the maps, contact
Nationwide for proper application.
[A ranch or farm truck is any commercial vehicle with ober 3 / 4 -ton load capacity used only
for ranching or farming needs; not leased for hire (occasional exchange hauling for neighbor»
is permissible); and not regularly operated beyond a 150-mile radius .1
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TO ORDER YOUR INSURANCE, FOLLOW
THE SIMPLE STEPS BELOW.
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To determine your rates and order your insurance, select
the coverages and limits you want and enter the cost in
the column at right.
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LEWIS and CLARK COUNTY
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EXAMPLE; You live in Valley County. You have a pas
senger car, a pick-up, and a ranch truck. You choose
Bodily Injury limits of $20,000 and $40,000 plus Property
Damage limit of $5,000. There are no male drivers under
25 using the car or pick-up. Your quarterly payments are:
*3.60 for the car. *2.70 for the pick-up, and *3.60 for the
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Flood GREAT FALLS
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(A) BODILY INJURY and (B) PROPERTY DAMAGE LIABILITY
PASSENGER CARS OR PICK-UPS %-T0N OR LESS
There are no male
drivers under 25
(Higher limits on request)
CIRCLE THE PREMIUM
AMOUNTS YOU SELECT
FILL IN THESE COLUMNS
There is a male driver under 25
and he is:
After you select the msurakcv t
coverages anrt the limits you want,
enter the quarterly costs on the fines
below. Acid figures to fmrt total
quarterly premium installment.
OR OWNER □
si 0,000 each person
20,000 each occurrence
$5,000 each occurrence
$20,000 each person
40,000 each occurrence
$5,000 each occurrence
$ 50,000 each person
100,000 each occurrence
$10,000 each occurrence
(C) MEDICAL PAYMENTS
RATE FOR CARS, TRUCKS AND PICK-UPS
2nd VEHICLE RATE •
$ 5fin each person
$l,r>QQ each person
$2,000 each person
tfo be eligible for the substantial second-car discounted rate on Property Damage, Bodily Injury and
* Medical Payments, you must meet these qualifications: 1) Both cars insured by Nationwide. 2) No
male drivers under 25 in either car. 3) Lowest-rated car counts as second car and must not be used for
other business.4) All cars owned by same person or by husband and wife living in the same household.
(D) COMPREHENSIVE (including Fire and Theft) and (E) COLLISION
In the table below, "a" denotes the latest two model years; "b" denotes the
previous two model years, and "c" is for all others. (Each year counted as of
$1.50 each vehicle
1.95 each vehicle
2.25 each vehicle
2. LOW-PRICED CARS
Compact Buick. Chev., '62
Fairlane, Dart, Ford, OIdsF-85,
Meteor, Ply., 8-cyl. Rambler,
8-cyl. Tmpst., Studc, (Scots.,
Champ., 8-cyl. Lark). Scout.
3/i-ton or less. Foreign Cars,
cost new $2,301 to $2,500.
1. COMPACT CARS
Chev. II. Comet, Corvair,
Falcon, '62, *61 Lancer,
6-cyl. Lark. 6-cyl. Rambler,
4-cyl. Tempest, Valiant,
Willys. Foreign Cars—
Cost new up to $2,300.
3. MEDIUM-PRICED CARS
Foreign Cars—cost new
$2,501 to $5.000.
pickups with campers.
All other vehicles not
listed in boxes 1 or 2,
except Cadillac, Imperial,
Comprehensive and $100
Comprehensive and $50
*For Cadillac, Imperial or Continental rates contact Nationwide office.
♦Male drivers under 25 add $1.50 if married; $3.00 if unmarried and drive family car
$6.00 if unmarried and principal operator or owner.
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