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Please download the form below to apply for Roadside Assistance. 1-6 month Plan 1-Year PlanNOTE:After printing and completing the application above, please fax to 516.393.5996 For more information, please call us at 800.245.8726 or 516.682.9220 Monday to Friday 9:00am-4:30pm (EST) Closed Saturday and Sunday. If your computer can not read .pdf files. You can download Adobe Acrobat Reader for free.
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