First Name Last Name Email Address Contact Number Gender - None -MaleFemale Age Occupation Type of the Insurance Cover - Select -ComprehensiveThird party only Payment Type - Select -MonthlyAnnual Make - Select -AcuraAlfa RomeoAston MartinAudiBentleyBuickBMWCadilacCamrhinoCheryChevroletChryslerCitroenCumminsDaewooDafDaihatsuDodgeDucatiEagleFerrariFiatFiskerFordFreighlinerGMCGenesisGeoGonowGWMHarleyHavalHinoHondaHyundai HummerInfinityIsuzuIvecoJaguarJeepJohn DeereKawasakiKlaKiaKomatsuKTMLadaLexusLamborghiniLand RoverLaylandLincolnLotusMahindraManMaseratiMasseyMaybachMazdaMcLarenMercedesMercuryMiniMitsubishiNissanOldsmobileOpelPanozPeugeotPlymouthPontiacPorsheRamRenaultRollsroyceRoverSaabSaturnScaniaSeatSkodaSmartSsangyongSubaruSuzukiTataToyotaTeslaVauxhallVenterVentureVolkswagenVolvoXinkaiYamahaOther Category - Select -ConvertibleCoupeHatchbackMinivanPickupSedanSUVVanWagon Toyota Model - Select -AurisAvansaAvensisAygoCamryCorollaCruiserDynaFortunerFT-86HiaceHiluxIQMark 2PradoPriusPrius+QuantumRAV4RunXVersoVerso-SWishYaris Acura Model - 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Select -ASXChallengerChariotColtGrandisILancerOutlanderPajeroShogunTriton Oldsmobile model - Select -8898AchievaAleroAuroraBravadaCieraCustom CruiserCutlassCutlass CieraCutlass CruiserCutlass SupremeIntrigueLSSRegencySilhouetteToronado Panoz Model - Select -Esperante Plymouth model - Select -AcclaimBreezeColtColt VistaGrand VoyagerLaserNeonProwlerSundanceVoyager Pontiac Model - Select -AztekBonnevilleFirebirdG3G5G6G6 (2009.5)G8GTOGrand AmGrand PrixLeMansMontanaMontana SV6SolsticeSunfireTorrentTrans SportVibe Ram model - Select -1500 Classic Crew Cab1500 Crew Cab1500 Quad Cab1500 Regular Cab2500 Crew Cab2500 Mega Cab2500 Regular Cab3500 Crew Cab3500 Mega Cab3500 Regular CabC/VC/V TradesmanDakota Crew CabDakota Extended CabProMaster 1500 CargoProMaster 2500 CargoProMaster 3500 CargoProMaster Cargo VanProMaster CityProMaster Window Van Saturn Model - Select -AstraAuraIonL-SeriesOutlookRelayS-SeriesSKYVUE Tesla model - Select -Model 3Model SModel X Year of manufacture: Year Year1990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Registration Number Insured Value (BWP) If you sum insured is above 1 Million Pula , contact us for a personalised quotaion 3600500 enquiries@bic.co.bw Is you vehicle a Grey Import - 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