quotes

Please fill in the following information to receive a quotation by email

*required fields

*Name

*Email

Phone Number

NIE

*Postcode

I would like a quotation(s) for the following type(s) of insurance:

HOME INSURANCE

Use of Building

Type

Location

Garage

Storeroom

Type of Cover

Year of Build

Constructed (m²)

Building Value (€)

Contents Value (€)

Jewellery Value (€)

Security (please tick all that apply)

Rejas (bars) or security glass on windows Security door Alarm connected to security centre or police Permanent surveillance

Additional Information (please tell us anything else you think may be relevant)

CAR INSURANCE
Driver Details

Date of Birth

Nationality

Date of License

Country of Issue

No Claims Bonus

Car Details

Vehicle Type

Type of Cover

Make of Vehicle

Exact Model

Engine Size

Date of First Registration

Country of Registration

HEALTH INSURANCE
With the information below we can give you a quote for health insurance but you will also be required to fill in a health declaration form if you wish to proceed with the insurance

Please list the Date of Birth, NIE or DNI and Gender of everyone requiring health insurance

LIFE INSURANCE
With the information below we can give you a quote for life insurance but you will also be required to fill in a health declaration form if you wish to proceed with the insurance

Please list the Date of Birth, NIE or DNI and Gender of everyone requiring life insurance

MARINE INSURANCE

Name of Boat

Registration Number

Year of Fabrication

Length (metres)

Type of Boat

Material

Area of navigation

Motor Position

Nº Places/Occupants

Max Speed (knots)

Total Power

Waterskiing

Regattas

Where did you hear about us?

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