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225-293-0450
4606 Bluebonnet Blvd.
Baton Rouge, LA 70809
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Discount Eligibility (Check all that apply)
Good Student Discount: I am a full-time student under age 25 with a B average (3.0 GPA) or higher.
Driver Training Discount: I have completed a state-approved driver education or defensive driving course.
Additional Driver (if applicable)
First & Last Name
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High School / GED
Associate Degree
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Driver’s License #
Driving History
Traffic Tickets
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DUI/DWI
None
Discount Eligibility (Check all that apply)
Good Student Discount: I am a full-time student under age 25 with a B average (3.0 GPA) or higher.
Driver Training Discount: I have completed a state-approved driver education or defensive driving course.
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Owner
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