QUOTE REQUEST
MOTORCYCLE INSURANCE GERMANY

    • 1

      Personal Information

    • 2

      Vehicle Information

    • 3

      Coverage

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    Personal Information

    Do you already have a policy with us?*YesNo

    What is your 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)

    Date of Birth*

    Motorcycle make*

    Motorcycle model*

    Year of vehicle*

    VIN - Vehicle Identification Number

    Actual Cash Value in USD* (max. value 35,000 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)*
    Yes

    Comprehensive Loss (e.g. theft, broken windshield, natural hazard) Deductible 300 EUR*
    YesNo

    Collision Loss (own damage) Deductible 300 EUR*
    (Note: If you select to have Collision Coverage, you will also carry Comprehensive Coverage with a 300 EUR deductible)
    YesNo

    Effective date of coverage*

    PCS Date / DEROS

    How did you find out about MIRASCON?

    What was your search term?

    Please specify

    Promotion Code

    10% Discount Active

    Invalid or Expired Promotion Code

    You were referred by

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    Then enter the referrer's e-mail address

    Third Party LiabilityThird Party Liability & Comprehensive CoverageThird Party Liability & Collision Coverage (incl. Comprehensive Coverage)

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