Quotation for Commercial cover
 

 Please complete the following questions for a commercial insurance quotation

 
  Please complete the fields below:
     
  Initials:
  Surname:
  Cellular nr:
  Nationality:
  ID or Passport nr:
     
  Please complete the fields below:
     
  What type of business to insure:
  Street and unit nr of business:
  Suburb:
  City:
  How many years is the business in practice:
     
  Please give a description of insurable goods and value:
   
 
   
  Please specify the amount for Glass cover:
 
   
  Please specify the amount for Fire cover:
 
   
  Please specify the amount for Stock cover:
 
   
  Please specify the amount for Cash is transit:
 
   
  Please specify the amount for office content cover:
 
   
  Please furnish the full description for the fleet of vehicles to be insured: