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Bicycle insurance
Extra and acceptance questions Bicycle insurance
Accceptance questions Bicycle insurance
Accceptance questions Bicycle insurance
Different start date
Different start date
Start date
*
Mandatory
Different change date
Different change date
Start date
*
Mandatory
Type of bicycle
*
Please select
Ordinary bicycle
ATB and/or racing bicycle
Special bicycle (carrier)
Mandatory
Make
*
Mandatory
Specification
New bicycle
*
Please select
Ja
Nee
Mandatory
Purchase value
*
Mandatory
Replacement value
*
Mandatory
Registration number
Trailer included in insurance
Please select
Registration number of trailer
Frame number of bicycle
*
Mandatory
Trailer type
Name of vessel
Year vehicle was built
Type of vessel
Please select
Length
Please select
Cover value
Current market value
Waarde accessoires
Lock brand/model
*
Mandatory
Key number
*
Mandatory
Postcode
*
Mandatory
Purchase date
Area of coverage
Please select
Type of engine
Please select
Engine make
Engine specifications
Engine capacity
Fuel
Please select
Year engine was built
Maximum speed
Mooring
Number of claim-free years
Driving skills
Driving skills
Yes
No
Security measures
Please select
Rental covered
Please select
Excess
Discount code
Discount code
Please select
We are unable to give a quotation or a temporary cover based on the information you presented in your application. Please complete this application so that we can get in touch as soon as possible for an appropriate proposal.
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Based upon this information we can’t show you a premium. Please contact our office.
Based upon this information we can’t directly show you a premium. Please finish your application and we’ll contact you as soon as possible.
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Payment term
*
month
3 months
6 months
12 months
Mandatory
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0,00
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Password
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Mandatory
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