Car Insurance Application Form

Name *

E-Mail *

Which company are you currently insured with?

What is your current contract number?

Annual contribution to your current car insurance

Current method of payment of your contribution *

Main due date of your current car contract *

your mark *

VIN of your vehicle

Power (in KW) of your vehicle *

Date of first registration *

Date of first registration on you *

I am the keeper *

If you are not the keeper, please enter the name and address of the keeper here

Manufacturer key number (can be found in the vehicle registration document) *

Type code number (can be found in the vehicle registration document) *

No-claims liability class *

No-claims class fully comprehensive *

Deductible partially comprehensive *

Excess fully comprehensive *

Is GAP coverage desired?

Is an integrated protection letter desired? *

Do you want integrated driver protection? *

The following information must only be given for trucks

payload in kg

Permissible total weight in kg

If there is anything else you would like to tell us, please enter it here:</p> </div> <p>2023-07-10 13:51:47<br /> #Request #offer #car #insurance #MAS #Consult #finance #capital #management</p><div class="clkuj66845fab89437" ><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-0928966750491324" crossorigin="anonymous"></script> <ins class="adsbygoogle" style="display:block; text-align:center;" data-ad-layout="in-article" data-ad-format="fluid" data-ad-client="ca-pub-0928966750491324" data-ad-slot="2006265671"></ins> <script> (adsbygoogle = window.adsbygoogle || []).push({}); </script></div><style type="text/css"> @media screen and (min-width: 1201px) { .clkuj66845fab89437 { display: block; } } @media screen and (min-width: 993px) and (max-width: 1200px) { .clkuj66845fab89437 { display: block; } } @media screen and (min-width: 769px) and (max-width: 992px) { .clkuj66845fab89437 { display: block; } } @media screen and (min-width: 768px) and (max-width: 768px) { .clkuj66845fab89437 { display: block; } } @media screen and (max-width: 767px) { .clkuj66845fab89437 { display: block; } } </style> <div class="relpost-thumb-wrapper"><div class="relpost-thumb-container"><h3>Related posts:</h3><div style="clear: both"></div><div style="clear: both"></div><div class="relpost-block-container"><a href="https://www.world-today-news.com/on-our-own-behalf-focus-on-silent-creators-in-the-media-advertising-and-marketing-sectors/"class="relpost-block-single" ><div class="relpost-custom-block-single" style="width: 150px; height: 225px;"><div class="relpost-block-single-image" aria-label="On Our Own Behalf: Focus on Silent Creators in the Media, Advertising, and Marketing Sectors" role="img" style="background: transparent url(https://i0.wp.com/www.persoenlich.com/sites/default/files/stille-schafferinnen-und-schaffer-im-fokus-3095.jpg?resize=150%2C150&ssl=1) no-repeat scroll 0% 0%; width: 150px; height: 150px;"></div><div class="relpost-block-single-text" style="font-family: ; font-size: 14px; color: #333333;">On Our Own Behalf: Focus on Silent Creators in the Media, Advertising, and Marketing Sectors</div></div></a><a href="https://www.world-today-news.com/coronia-crisis-hits-undocumented-migrants-hard-some-people-dont-have-money-for-food/"class="relpost-block-single" ><div class="relpost-custom-block-single" style="width: 150px; height: 225px;"><div class="relpost-block-single-image" aria-hidden="true" role="img" style="background: transparent url(;https://nos.nl/data/image/2020/05/30/652872/xxl.jpg) no-repeat scroll 0% 0%; width: 150px; height: 150px;"></div><div class="relpost-block-single-text" style="font-family: ; font-size: 14px; color: #333333;">Coronia crisis hits undocumented migrants hard: 'Some people don't have money for food'</div></div></a><a href="https://www.world-today-news.com/european-court-of-justice-declares-state-aid-to-klm-unlawful/"class="relpost-block-single" ><div class="relpost-custom-block-single" style="width: 150px; height: 225px;"><div class="relpost-block-single-image" aria-label="European Court of Justice declares state aid to KLM unlawful" role="img" style="background: transparent url(https://i0.wp.com/static.standaard.be/Assets/Images_Upload/2024/02/07/cdb81bb6-acb4-421a-8dd7-0495c3413b31.jpg?resize=150%2C150&ssl=1) no-repeat scroll 0% 0%; width: 150px; height: 150px;"></div><div class="relpost-block-single-text" style="font-family: ; font-size: 14px; color: #333333;">European Court of Justice declares state aid to KLM unlawful</div></div></a><a href="https://www.world-today-news.com/pension-payout-table-from-march-2023-we-calculated-what-your-benefit-will-definitely-be-after-the-changes-10-12-2022/"class="relpost-block-single" ><div class="relpost-custom-block-single" style="width: 150px; height: 225px;"><div class="relpost-block-single-image" aria-hidden="true" role="img" style="background: transparent url(https://i0.wp.com/d-art.ppstatic.pl/kadry/k/r/1/27/86/6390b544059a9_o_original.jpg?resize=150%2C150&ssl=1) no-repeat scroll 0% 0%; width: 150px; height: 150px;"></div><div class="relpost-block-single-text" style="font-family: ; font-size: 14px; color: #333333;">Pension payout table from March 2023. 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