Motorcycle insurance consultation & quote

    Contact information

    The motorcycle

    Type of insurance you need:

    Motorcycle brand

    Have you already bought the bike?:

    If you have already purchased the motorcycle, please confirm the date or at least the month and year of the first registration.:

    The driver

    Principal driver's place of birth:

    Campussing destination in which you reside:

    Sex:

    Marital status

    Main driver's occupation:

    Does the driver have children living at home?:

    Type of driver's license of main driver:

    What do you use your motorcycle for?:

    Are you going to carry a passenger:

    Where do you usually park at night?:

    How many kilometers do you expect to drive per year?:

    Principal driver's date of birth:

    Date of obtaining driver's license:

    What is the displacement of the main driver's previous motorcycle?:

    Is the principal driver on any delinquency file?:

    If the policyholder is not the main driver, please confirm with us

    Who will be the primary driver of the motorcycle insurance?:

    Sex:

    Is the policyholder on any delinquency file?:

    Attach ID or Driver's license in PDF (maximum 4MB) for data verification.

    In accordance with the provisions of the current legislation on the Protection of Personal Data, you are informed that the personal data you provide through this form will be processed by Campussing, in order to manage your request and send you more detailed information.For more information, please consult the PRIVACY POLICY.

    I have read and accept the PRIVACY POLICY from the website of www.campussing.com.

    I wish to receive commercial communications about Campussing's services and products.