Name
*
First Name
Last Name
Email:
*
Address:
Town of Residence:
*
Please Select
Nicosia
Larnaca
Limassol
Paphos
Are you an existing client?
*
Νο
Yes - please give details (e.g. policy number, ID, account)
Phone Number
*
-
Area Code
Phone Number
Please choose the insurance product of your interest:
*
Please Select
Motor Insurance
Household Insurance
Property Insurance
Business Insurance
Jointly-Owned Building Insurance
Medical Insurance
Group Medical Insurance
Health Insurance (for immigration purposes)
Employer's Liability Insurance
Public Liability Insurance
Marine Cargo Insurance
Contractors All Risks Insurance
Personal Accident Insurance
Group Personal Accident Insurance
Professional Indemnity Insurance
Travel Insurance (incl. Schengen Visa Cover)
Pet Insurance
Yacht - Pleasure Craft Insurance
Golf Insurance
Goods in Transit Insurance
Money Insurance
Cyber Risk Insurance
Directors and Officers Liability Insurance
Fidelity Guarantee Insurance
Please type your message / cover requested:
Important Notes:
1. Please note that this from is for quotation purposes only. If you wish to proceed with a contractual agreement you will be required to submit a proposal form. 2. Our quotation will be based on the information you have submitted, therefore, any alterations and/or misleading information, will cause a revision to the quotation accordingly. 3. We have collected only personal data you have voluntarily provided to us and which are processed solely for the purpose of risk assessment and preparation of this quotation.Where additional information is sought, you will be informed at the time of the data collection. If we do not conclude with a contract any personal data collected will be destroyed immediately. However, in case that you choose us for your policy, we are obliged by law to retain your personal data for a period of at least 13 (thirteen) years after termination.
Submit Information
Clear Form
Should be Empty: