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1 -
Informations du Véhicule
2 -
Dureé & Package
NB : * (Obligatoire)
Brand
*
Brand
ALFA ROMEO
APRILIA
AUDI
AUSTIN
BMW
CHEVROLET
CHRYSLER
CITROEN
CO
DACIA
DAEWOO
DAIHATSU
DUCATI
FIAT
FORD
FRONTERA VAUXHALL
GALANT
GALLOPER
GILERA
HONDA
HYSTER
HYUNDAI
ISUZU
IVECO
JAGUAR
JEEP
KAWASAKI
KIA
LADA
LANCER
LANCIA
LAND MARK
LAND ROVER
LEXUS
MAN
MARUTI
MAZDA
MERCEDES
MG
MINI
MITSUBISHI
NISSAN
OPEL
PAJERO
PEUGEOT
PIAGGIO
PONTIAC
PORSCHE
PROTON
RENAULT
RENAULT TRUCKS
ROVER
RUNNER
SAAB
SEAT
SIMCA
SKODA
SMART
SSANGYONG
SUBARU
SUZUKI
TALBOT
TOYOTA
TRAILOR
Toutes Marques
VESPA
VOLKSWAGEN
VOLVO
YAMAHA
ZASTAVA
JAKARTA
AUTRES
(Sans Précision)
Model
What the vehicule is used for ?
*
What the vehicule is used for ?
Véhicules de tourisme (Personnels, tourismes, affaires ou promenades...)
Véhicules utilitaires (Services, Livraison, Transport personnel...)
Véhicules de transport public de Marchandises
Véhicules de transport public de Voyageurs
Véhicule à deux ou trois roues
Véhicule 'ww' Garage
Véhicule d'Auto-Ecole (Commande simple)
Véhicule d'Auto-Ecole (Commande double)
Véhicule de location (Avec chauffeur)
Véhicule de location (Sans chauffeur)
Véhicule de chantier
Véhicule spéciaux (Ambulance, Corbillard, Tracteur Agricole ou Forestier...)
Date of circulation of the vehicle
*
Vehicle registration or chassis number
*
Number of vehicle places
*
New value of the vehicle
*
Market value of the vehicle
*
Vehicle power
*
Choose energy
*
Choose energy
Diesel
Vehicle cylinder
*
Period
*
Choose the duration of the contract
1 month
3 month
6 month
12 month
Please choose a package
*
Basic Pack
Risks covered (guarantees)
RC: Civil liability
RTI: Third party fire remedies
DR: Defense and appeal
ECOWAS
ADVANTAGE ASSISTANCE
Choose
Pack 1 : Assur ’Auto Confiancia
Risks covered (guarantees)
RC: Civil liability
RTI: Third party fire remedies
DR: Defense and appeal
ECOWAS
ADVANTAGE ASSISTANCE + IC: Individual Driver
Choose
Pack 2 : Assur ‘Auto Innovia
Risks covered (guarantees)
RC: Civil liability
RTI: Third party fire remedies
DR: Defense and appeal
ECOWAS
ADVANTAGE ASSISTANCE + IPT: Individual People Transported
Choose
Pack 3 : Assur ‘Auto Protectia
Risks covered (guarantees)
RC: Civil liability
RTI: Third party fire remedies
DR: Defense and appeal
ECOWAS
COMFORT ASSISTANCE + IC: Individual Driver + INC: Fire + Theft + BDG: Broken Ice
Choose
Pack 4 : Assur ‘Auto Idealia
Risks covered (guarantees)
RC: Civil liability
RTI: Third party fire remedies
DR: Defense and appeal
ECOWAS
FREEDOM ASSISTANCE + IC: Individual Driver + BDG: Broken Ice + Theft + INC: Fire + TC: Complete third party or damage
Choose
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