Renters Insurance Quote

Max Insurances

D1, 27-29 William Pickering Dr, Rosedale,
Auckland, New Zealand, 0632

Tel: 09 913 3011

159 Jellicoe Street, Te Puke,
Bay of Plenty, New Zealand, 3119

Tel: 07 850 9213

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 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