Vehicle Information Form | nonda Connected 24-Hour Roadside Assistance

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Your vehicle information is required to activate nonda Connected 24-Hour Roadside Assistance*. Please complete the vehicle information form below and we'll send you a confirmation email after submission.
It will take 3-5 business days to approve and activate the service after the form is submitted. You'll receive an email with detailed guidelines when everything is ready.

Membership Information

First Name

Last Name

Address

City

State

Zip Code

Phone Number

Term of Coverage

Effective Date

Expiration Date (1 year, automatically applied)

*Please choose a start date no earlier than 5 days after placing your order.
*Effective date is the day when your roadside assistant service is activated. It will take about 3-5 business days for us to approve and activate the service for you.

Vehicle Description

Vehicle VIN

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*24-Hour Roadside Assistance is not insurance. All 24-Hour Roadside Assistance services are provided by Nation Motor Club, LLC dba Nation Safe Drivers located at 800 West Yamato Road, Suite 100, Boca Raton, FL 33431. In California: All 24-Hour Roadside Assistance services are provided by Nation Motor Club, LLC located at 800 West Yamato Road, Suite 100, Boca Raton, FL 33431. Motor Club Permit #5157-3. In Alabama, Alaska, and Utah: All 24-Hour Roadside Assistance services are provided by Nation Safe Drivers Services, Inc. located at 800 West Yamato Road, Suite 100, Boca Raton, FL 33431.

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