Contents Insurance Quote

Max Insurances

 

D1, 27-29 William Pickering Drive,
Rosedale, 0632

 

Phone  0508 629 5626

 

Tel: 09 913 3011
Fax: 09 913 3012

Tell us a bit more and we will be in touch

Your Name

Date of Birth

Your Address

Contact Number

Your Email

Do you have existing insurance

YesNo

If your answer is 'Yes', can you tell us the insurance company name and your customer & policy no.

Have you made any contents claims in the past 12 months

YesNo

Contents value (including contents in shed, garage and storage) $

Please let us know the details if you would like to specify some contents

Any other relevant information that may affect the insurance cover

Declaration: I/WE HEREBY DECLARE AND WARRANT that the answers given above are in every respect true and correct, and that I/We have not withheld any information within My/Our knowledge likely to affect the decision of the Company as to My/Our eligibility for insurance. This request and declaration shall be the basis of the quote request.

YesNo