Your French Insurance in BrittanyAgents Axa à Pontivy et Locminé

Pontivy +33 (0)2 97 25 41 02 Locminé+33 (0)2 97 60 08 23

CLP Car Insurance - Quotation details

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First name(*)
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Last name(*)
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Email(*)
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Phone
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Mobile
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Date of birth(*)
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(Date format dd/mm/yyyy)

Occupation
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Address in France

Address
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City(*)
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Other address ?
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Avez-vous une seconde adresse ? (résidence secondaire, adresse à l'étranger)

Second address

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City(*)
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CAR

Make(*)
Indiquer le fabricant.

Model(*)
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Power - capacity(*)
Indiquer la puissance

Manufacture date
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(Date format: dd/mm/yyyy)

Fuel Type
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Gearbox
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VIN or chassis number(*)
Indiquer le VIN (numéro de châssis)

Date of purchase
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(Date format dd/mm/yyy or click on 'Pick a date')

Number of doors
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Carosserie
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Insurance record

I'm not insured at this time
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Date driving test passed
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No. of years insured ?(*)
Indiquer depuis quand vous êtes assuré.

Coefficient value
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Claims over the last 3 years
A renseigner SVP

N°. of claims over the last three years (including non responsible claims and windscreen breakage).

Responsable claims
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Present insurance company
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Renewal date
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(Date format: dd/mm/yyyy)

NB In order to provide you with your no claims bonus we will require an insurance record from you previous insurer(s) stating clearly the start and end date of your previous policy/policies.

Vehicle's Use
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Type of cover
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Recovery for breakdown
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Replacement car
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Limited kilometers
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Payment Method
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Our Agencies

Pontivy
+ 33 (0) 2 97 25 41 02
Contact Us

Locminé
+ 33 (0) 2 97 60 08 23
Contact Us

Pontivy agency

 75 Rue Nationale - 56300 Pontivy

 +33 (0) 2 97 25 41 02

 Contact Us

Opening Hours

  • Monday 2:00pm to 6:00pm
  • Tuesday to Friday
    9:00am to 12:00pm / 2:00pm to 6:00pm

 

Locminé agency

 6 Place du marché - 56500 Locminé

 +33 (0) 2 97 60 08 23

 Contact Us

Opening Hours

  • Monday appointments only
  • Tuesday to Friday
    9:00am to 12:00pm / 2:00pm to 6:00pm
  • Saturday 9:00am to 12:00pm