Motorcycle Insurance Germany Request Quote - Motorcycle Insurance Germany Your DataFirst name*Last name*Date of birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Phone numberAre you affiliated with NATO Forces?*YesNoWhere will the vehicle be registered?*USAREURBFGGerman registryHave you had any accidents or claims in the last 5 years?YesNoAre you married?YesNoPCS Date / DEROS MM DD YYYY Youngest Driver Date of birthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Your VehicleYear of vehicle*202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995Please enter the year of the first registration. If the vehicle is older than 25 years please contact us at 0800-MIRASCON (0800-64727266) or send us an e-mail at contact@mirascon.com for a quote.Motorcycle make*Motorcycle model*Actual cash value in USD*Please enter a number from 0 to 20000.If your vehicle value exceeds 20,000 USD, please contact us at 0800-MIRASCON (0800-64727266) or send us an e-mail at contact@mirascon.com for a quote.Is there a lien on your vehicle?*YesNoLienholder nameSecond vehicle policy with MIRASCON existing?YesNoSecond vehicle contract numberYour Insurance CoverageEffective date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Third Party Liability Insurance Comprehensive Cover (Deductible 300 Euro) Full Coverage (Deductible 300 Euro) Data Processing* I have read and understood the Privacy Statement. CAPTCHA