BikeFinder.co.za
Harnacks Insurance

 

Online Insurance Quotation for BikeSure, QuadSure & ScooterSure.

 

Harnacks respect and assure you that your contact details will remain confidential.

Find out what BikeSure, ScooterSure & QuadSure insurance offers you! We'll evaluate your individual circumstances and contact you with the best premium! Fill in this brief form and we'll promptly reply with a personalised quote!

Premiums are calculated manually, so we will reply within 24 hours.

* Mandatory for completion of form, skip over if not applicable...

1. Policy Holder Details:  
                 
Surname:
First name:
Title:
I.D number:
(essential for your quote)
   

 
Street Address : *
E-mail address: *
Occupation:  
Home tel:     
*
Cell:     
Work tel: 
Fax number:
Driver's licence details:                   
Do you have current insurance:                       
Name of insurer:
No claims bonus:
Policy no:  
 
2. Principal Rider Details:
 
The insured is the principal rider. If not the following details are required:
 
First name:
Surname: 
Title:            
Gender:         
I.D number:
Driver's licence details:                  
3. Underwriting Details:
 
Is the motorcycle currently in your possession? Yes!* No!*
 
Do you have any physical disability?                  
Is your vehicle currently fitted with an immobiliser?
Is the vehicle used only for private use? 
Has any insurance company cancelled your policy?
Do you or the rider have any motor convictions?  
Is there a sidecar attached?                           
 
4. Dealer Details: ( to acquire bank financing )
   
Name of company:              
Branch:   
Attention:      
Tel:      
Fax:             
E-mail:    
   
5. Finance House Details:
  
   
Name of financial institution:  
Branch:         
Attention:   
Tel:       
Fax:   
E-mail: 
   
 6. Motorcycle Details:  
   
Year:      *
Make:         
Model:   
Reg. No.   
Vin No.
Engine No.
Motorcycle classification:     
   
7. Insurance cover details:  
   
Date cover is to commence: 
Sum insured:     *
 
 

 

 

BikeFinder.co.za: Homepage | About Us | Contact Us | Contact a Motorcycle Dealership | Site Map | Links | FAQ

Insurance Articles: Customise Your Motorcycle Insurance!

Bike Dealers: Biker's Delight | Tims Motorcycles | MotoMia | Atlantic Motorrad | EuroJet Scooters | Ryan's Motorcycle Surgery | Motorcycle World | Bike Zone Racing | Iron Horse | Mike Hopkins