Motor Insurance Quotation - Motorbike/ Quadbike

(for BFG/ NATO registered vehicles only)

Taking out motor insurance with Culpeck Insurance Broker means that you will hold cover with a long- established, very professional English/ German speaking company with the highest standard of insurance cover on today's BFG/ NATO market.

All of our motor insurance policies are Open Rider contracts and come with unlimited mileage, unrestricted overnight parking, business cover, variable excesses, flexible payment methods, payment- freeze but cover guarantee (e.g. if on Operational Tour), and most importantly an easy stress-free claim procedure with swift settlement.

Worried about when you leave Germany? No need! We have no kind of cancellation fee, your refund will be calculated by the day - not by the month - and your No Claims Discount certificate will be in English, where necessary we will even confirm your entitlement to your new company over the phone no matter where in the world.

*** OUR HOTDEAL ***

5 YEARS NO CLAIMS - STARTER BONUS + 50% DISCOUNT ON FIRE, THEFT & GLASS COVER.
OR
5 YEARS NO CLAIMS TOWARDS YOUR EXISTING ENTITLEMENT + 50% DISCOUNT ON FIRE, THEFT & GLASS COVER.

Enjoy the freedom of the road this summer and check out our HOTDEALS on motorcycle insurance.
Go on spoil yourself & give your bank balance a break.

Personal Details
Salutation: Mr. Mrs. Miss. Ms. Dr.
BFPO/ Unit address:	Postal address:* (n/a if same as unit)
Telephone number:*
Fax number:*
Email address:
Age:	18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35+
Married/ engaged or do you have a life- partner?	Yes No
No Claims Bonus entitlement:	--- Please select --- License less than 3 yrs License more than 3 yrs 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years and more...
Bike Details
Make:
Model:
Type of bike:	--- Please select --- Big Trail Bikes Cruiser Motocross Quad Sport Other
Cubic capacity:
Engine performance:*	bhp kW
First year of registration:	--- Please select --- brand new 2010 2009 2007 2006 2005 2004 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 before 1985
Cover Required
No Claims Bonus entitlement:	--- Please select --- License less than 3 yrs License more than 3 yrs 1 year NCD 2 years NCD 3 years NCD 4 years NCD 5 years NCD 6 years NCD 7 years NCD 8 years NCD 9 years NCD 10+ years NCD
Cover required: (use shift to hightlightmore than one)	--- Please select --- Fully Comprehensive Third Party, Fire & Theft Liability only
Excess(es) in Euros* (use shift to hightlight more than one)	OD 300 FT 150 (standard) OD 500 FT 150 OD 500 FT 500 FT Nil FT 150 OD= Own Damage (Fully comp.) FT = Fire & Theft (also any glass)
I am not a client of Culpeck Insurance Broker...
...but I am seeking new insurance*
,,, however my policy is due for renewal*
For Culpeck clients only
My policy is due for renewal/ I would like Culpeck to check my premium*
I have purchased a second motorbike*
I wish to change my motorbike*
* optional
Remarks/ Additional information
Is this form understandable and easy to complete?	Yes Yes, but still room for improvement NO!!!
You need other than motor insurance? Please be so kind to contact one of our offices. Thank you!