Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the application form and download it for completion.
2. Fill in your policyholder information. Include your full name, address, and contact details, including telephone and email.
3. Provide vehicle information. Enter the year, make, model, and VIN (17 digits) of your vehicle, along with details like trim, mileage, and value.
4. Indicate if there is a lien against your vehicle by selecting 'Yes' or 'No'. If applicable, enter the lien holder's name and address.
5. Include your date of birth and marital status, as well as whether you are a member of the Church of God in Christ Mennonite.
6. Fill in the primary driver’s name and age. Provide additional details such as the name of your congregation.
7. Review the vehicle rates for collision and comprehensive coverage. Mark the rate that best applies based on your vehicle type and usage.
8. Acknowledge the deductibles and guidelines provided in the form. Ensure you understand the coverage details and requirements.
9. Sign the application form as the applicant. If you are under 18 years of age, ensure a parent or guardian provides their signature.
10. Save your changes. You can then download, print, or share the completed form as needed.

Complete your application online today and ensure your vehicle is adequately covered.