Quote Request

Martial Status:

Household Section

Type of Dwelling:
Roof Construction:
Wall Construction:
Dwelling Classification:
Burglar Alarm:  Yes   No
If yes is the alarm linked:  Yes   No
If yes with what company:
Burglar bars in front of windows / louvers / fanlights:  Yes   No
Occupied during working hours:  Yes   No
Unoccupied 45 days a year:  Yes   No

Buildings Section

Type of Dwelling:
Dwelling Classification:
Wall Construction:
Roof Construction:
Thatched Lapa:  Yes   No

Motor Vehicle Section

Sound equipment to be covered:  Yes   No
Sound equipment factory fitted:  Yes   No
Sound equipment cover required:  Yes   No
Vehicle Type:

All Risk Section

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