O. Girke - International Insurance and Travel Service

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Insurance

We offer you a wide range of insurance cover including motor insurance, travel insurance, liability insurance, kit insurance and legal costs insurance. Individual advice and guidance and the best value policies at the lowest prices, as well as efficient claim settlements are our strength.

Contact us today on our
FREEPHONE number 0800 644 7530
for your personal quote - you'll find it's worth it. Give us your telephone number and/or e-mail address and we will contact you or just call in to your nearest O. Girke office that you will find on our homepage.

Client Details
   
Rank & Full Name
Unit Adress
Civilian City & Postcode
E-Mail adress
Tel.-No.
Date of birth
Is client?

Vehicle Details
   
Exact make
Model
Date of first registration
Date 1st reg. in client's name
BHP/PS/KW
CC
Diesel Yes No
Cabriolet Yes No
Hatchback/Saloon/Estate

Drivers
     
Name Date of Birth License details/Date of issue
 
   
     
   

Previous Car Insurance
   
Company
Policy-No.
No claims discount entitlement
Claims during last 12 months
House/Flat-owner in Germany? Yes No
if yes, which:
   
Existing or previous AXA Germany customer Yes No
Policy-No.  
  change of vehicle
second car quote
   
Average annual mileage in km  
Garage/Carport/Street/Camp  
Further comments  

Quote based on details given above
       
NCB-protection required?
(only for customers with entitlement of 5 years and more) 
Third Party PLUS
Fire & Theft 150,- EURO excess
OR PLUS
Fire&Theft nil excess		 OR PLUS
Fully Comp.300,-/150,- EURO
OR PLUS
Fully Comp. 150,-EURO/ NIL		 Traffic Legal Aid Insurance