Quotation for Building insurance
 

 Please fill out the below questions to get a quotation on building insurance

 
  Please complete the fields below:
     
  Initials:
  Surname:
  Cellular nr:
  Nationality:
  ID or Passport nr:
  Occupation;
     
  What is the type of building you want to insure:
     
  Normal private house
  Flat
  Town house
     
  Where is the property situated:
     
  Is the building on a Farm or Suburb:
  Street address and house nr:
  Suburb:
  City:
     
  Please select the type of roof cover of the buiding:
     
  Tiled roof
  Zink roof
  Thatched roof
     
  Please select the type of wall structure of the building:
     
  Brick wall
  Wooden wall
  Other
     
  Please complete the fields below:
     
  What is the value of the building:
  How many geysers in the building:
  Is there any other out buildings:
  Do you require subsistence and landslip cover:
     
 
Security Check: