| Car Insurance |
Would you like to receive an independent insurance quotation or compare with an existing policy? Just complete the following questionnaire with the required information. Should you require assistance on commercial insurance please summarize the information under „Other“.
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| Titel | Mr Mrs |
| Surname | |
| Firstname | |
| Date of Birth | |
| Occupation | |
| Physical Address | |
| City | |
| Postal Code | |
| Province | |
| Telephone | |
| Cellphone | |
| Fax | |
| Previous Insurance | |
| Owner's name: | |
| Date of Birth: | |
| Make of the car: | |
| Model: | please give us an accurate description, e.g. 160i GLS Exec, a/t, a/c, p/s and odometer reading. |
| Year: | |
| Market value |
INFO: How do I obtain the market value of my motor vehicle?
| Most insurance companies apply the following guidelines: Your vehicle, if new, is insured for replacement during the first year. Thereafter the retail value is applied. These values can be obtained from the Auto Dealer’s Guide booklet if the car is not imported or older than 9 years. We can give you an indication only if you supply us with as much information on the vehicle as possible. This includes the amount of mileage and accessories. We recommend that you obtain a written valuation especially if the car is imported or older than 9 years. The principal of underinsurance is also applied with motor vehicles.
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