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Motorcycle Insurance

We are Suzuki and QBE Insurance Agents and can help you arrange the best cover for your motorcycle. Please complete the form or call us for more information.

Personal Details

Name(Required)

First Last

Phone(Required)

Email(Required)

Date of Birth

DD slash MM slash YYYY

Vehicle Details

Vehicle Value

Year

Make

Family (Size)

Model

Registration Type

Residential Details

Residential Postcode

Bike Security

Where is your vehicle parked at night?

Behavior and License

Vehicle Usage

Personal

Business

License Type

License Class

C

R-E Learners

R-E

R Learners

R

HR

Other

How many consecutive years have you held your current drivers/riders license for?

Will there be any (regular) additional riders on this bike?

Yes

No

How many at fault accidents and/or insurance claims have you had in this period?

Name

This field is for validation purposes and should be left unchanged.

Corner Stanhope Gardens and Great Eastern
Hwy Midvale, Western Australia 6056

(08) 9274 4866

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