Insurance request

Review the selected option and provide your contact details.

Quantity First name Last name Phone number Email address Street and house number Postal code City Country

How would you like to receive confirmations and updates? (required)

SMS Email WhatsApp

SMS and WhatsApp messages are sent only when a real integration is configured. Selecting an option does not send a message.

Vehicle type: Offen

License plate (optional) Additional information

Review your customer details

Name:
Address:
Phone:
Email:
Preferred contact method:
WhatsApp number:

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Selected insurance

Product: Open vehicle type, 30 days – 1 month

Insurance: Export insurance

Vehicle type: Offen

Duration: 30 days

Green Card: Included

Breakdown assistance: Not included

Different registered owner: Not included

Price per item: €89.00

Quantity: 1

Quantity discount: €0.00

Total price: €89.00

The export products and reference prices shown are from the linked product pages. This request is not an insurance contract; availability, terms, territorial cover, and acceptance by the registration office must be confirmed before purchase.

This is a non-binding request, not a valid insurance policy or confirmation that a policy has been issued.