Tell us about the person to be insured		Tell us about the policy you want...   - Lowest Premium higher excess - Low Premium no basic excess - Roadside Assist - Medical Aid - Tyre Damage - Scratch Away - Accidental Death and Injury Protection - Dental Insurance - Income Protection Tell us about the product you'd like... (Please select 6 companies)   - All American Bike Insurance - BikeSure - Harleysure - PedalSure - Discovery Insure - Cross Country - Santam - King Price - Old Mutual Insure (Mutual and Federal) - Momentum - Hollard - Auto & General - Outsurance - Zurich (Bryte Insurance)
First name
Surname
I.D number (or)
Date of birth (only if you do not have an S.A. I.D number)
Passport Number
Street Address and Postal Code
E-mail address
Telephone no
Licence type (learner or a full licence)
Date of issue
Are you currently insured? (yes or no, can get you more discounts)
Do you have any "No Claim" Bonuses?
How many motor losses within the last 3 years?
Tell us about the main rider (if not the above insured)
First name
Surname
I.D number
Licence type (learner or a full licence)
Date of issue
Date of birth (if you do not have an S.A. I.D number)
Street Address and Postal Code
E-mail address
Telephone no
Do you have any "No Claim" Bonuses?
How many motor losses within the last 3 years?
Tell us a bit about your bike: Year Make      Model The value without extras     The value with extras Date cover is to commence Do you need vehicle finance?     Where will the bike sleep at night?       In a security complex In a locked garage Behind locked gates     Is there any riding gear you would like to insure?   Helmet R Jacket R Gloves R Pants R Boots R     GO BOXER! HARRY'S QUOTE OF THE MONTH... ""