Personal Information
Vehicle Information
Coverage
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I understand that this insurance does not cover rentals or leased vehicles.
Your Active Policy Number*
First Name*
Last Name*
Personal Email*
Phone Number*
Are you affiliated with NATO Forces?*YesNo
Where will the vehicle be registered?*USAREURBFGGerman registry (on German Economy)
Are you married?*YesNo
Date of Birth*
Vehicle Make*
Vehicle Model*
Year of Vehicle*—Please choose an option—2026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990
VIN - Vehicle Identification Number
Horse Power*
Actual Cash Value in USD* (max. value 100,000 USD)
Is there a lien on your vehicle?*YesNo
Have you had any at-fault accidents in the last five years?*YesNo
Legal Liability Insurance (mandatory) incl. Roadside Assistance* Yes
Comprehensive Loss (e.g. theft, broken windshield, natural hazard) Deductible 300 EUR* YesNo
Collision Loss (own damage) Deductible 500 EUR* (Note: If you select to have Collision Coverage, you will also carry Comprehensive Coverage with a 300 EUR deductible) YesNo
Loyalty Repair Program?* YesNo
Effective Date of Coverage*
PCS Date / DEROS
How did you find out about MIRASCON?—Please choose an option—Print Media Ads (Magazine, Flyer, Newspaper, etc.)Online Media Ads (e.g. bookoo, howtogermany, inkwire)AI Search (ChatGPT, Google AI, Gemini, etc.)Search Engine (Google, Bing, Yahoo, etc.)Friends / Family / Work ColleaguesSocial Media (Instagram, Facebook, etc.)Website BlogCar DealerAlready CustomerEvents (Newcomers Orientation, USO , USYS, etc.)Other
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Invalid or Expired Promotion Code
none10% - Welcome Center Germany10% - PCS10% - STRIKE10% - COFFEE10% - NEWCOMER
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Third Party LiabilityThird Party Liability & Comprehensive CoverageThird Party Liability & Collision Coverage (incl. Comprehensive Coverage)
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