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BVBA E. Laureys

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Menu
- Our Team
- Our vision
Insurance
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Contact
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Quotation Car

Step 1 of 10

10%

Policyholder
Name*
First Last
Address*
Street Address City ZIP / Postal Code
Email*
Telephone*

Your contract type
*
- First contract (in own name)
- Replacement vehicle (in existing contract of KBC)
- Acquisition contract (other company)
- Additional vehicle

Which policies have you already with KBC?
- Fire (> 180 € / year)
- Family insurance
- Accident insurance

Vehicle specifications
Type of vehicle*
Brand
Type
Capacity of engine (CC)
Power (KW)
Fuel*
Date 1st commissioning
DD slash MM slash YYYY
License plate
Chassis number

Use of vehicle
- < 10.000 km/year
- Pulls trailer (> 750 kg)
- Daily traffic
- Professional use
- Leasing/Renting-contract

Drivers
Frequent drivers
(each name + date of birth + date of license)

Ensuring safeguards
- Civil liability
- Judicial assistance
- Full omnium
- Partial omnium
- Assistance (VAB, replacement vehicle,...)
- Accident insurance (driver)

In case to ensure Full Omnium
Invoice price

(incl. VAT) without reducing of a possible takeover price!
Invoice date
DD slash MM slash YYYY
Exemption
Exemption theft
VAT recovery
(for self-employed)

In case you currently have no car insurance at our office
Frequent driver?
With which company?
How many years have you been insured as a frequent driver?
Number of accidents in error?
(last five years)
Number of accidents in right?
(last five years)
Current Bonus Malus?

Extra
Other remarks
Name
This field is for validation purposes and should be left unchanged.

News

Lentefris op de fiets: veiligheid voorop!
Mar 21, 2024
Vol vertrouwen naar je huis van morgen
Feb 14, 2024
Best wishes
Dec 26, 2023
Snel je verzekeringen regelen? Vraag het aan Kate en bespaar tijd
Nov 22, 2023
Opgroeien zonder zorgen, daar vlammen we voor!
Nov 15, 2023
Sluit in oktober je ongevallenverzekering af met 13% korting
Oct 09, 2023
Krijg nu twee maanden gratis bij je brandverzekering
Aug 01, 2023
KBC Omniumverzekering beste van de test
Jun 15, 2023
Praat met ons over de beleggingsverzekering die het beste bij jou past
Jun 01, 2023
Bespaar tijd en geld met Kate en KBC Mobile, ook voor je verzekeringen
Apr 28, 2023

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Extras

Connected agent, Company number: 0476.546.152 of KBC Verzekeringen nv, Professor Roger Van Overstraetenplein 2, 3000 Leuven, Belgium VAT BE 0403.552.563, RPR Leuven.

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