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We offer SA consumers the most efficient way to compare insurance quotes from leading South African insurance companies.

 
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Simply complete this simple form with your insurance details and you receive some FREE insurance quotes from SA's top Insurance companies!

 
All spaces marked with an * must be completed
    Personal Details:
 
First Name:
*
Surname:
*
ID Number :
*
Contact Number :
*
Cell Number:
*
Email Address:
*
Gender:
Male     Female
Date of Birth:
*dd/mm/yyyy
Marital Status:
*
Province:
*

    Medical Aid :
 
Are you currently covered by Medical Aid:
Yes No *
Type of Medical Aid you are interested in:
*
Do you receive Medical Aid subsidy from your employer?
Yes No *
Do you require cover for day to day expenses?
Yes No *


    Additional Details:
 
Principal Member:
Yes No *
Spouce / Partner:
Yes No *
Dependants over the age of 20:
Yes No *
Children under the age of 21:
Yes No *
 
By clicking this checkbox you acknowledge that you have read and understood the privacy policy *
 
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The Insurance quotes which will be provided to you, are based on a limited amount of information. Therefore these quotes are only illustrative and are not a binding offer. The quotes are subject to change, based upon the verification and further consideration of more comprehensive risk related information that you will be required to disclose, when you agree to the insurer or broker contacting you.
 

 
 

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