Loan Protection Insurance Quote

Max Insurances

D1, 27-29 William Pickering Dr, Rosedale,
Auckland, New Zealand, 0632

Tel: 09 913 3011

159 Jellicoe Street, Te Puke,
Bay of Plenty, New Zealand, 3119

Tel: 07 850 9213

Tell us a bit more and we will be in touch

    Your Name

    Contact Number

    Your Email

    Loan Type
    CCILPI

    Do you have existing insurance

    YesNo

    Total Loan Amount (including all loan set-up fees) $

    Loan Term (months)

    Any other relevant information that may affect the insurance cover

    Declaration: I/WE HEREBY DECLARE AND WARRANT that the answers given above are in every respect true and correct, and that I/We have not withheld any information within My/Our knowledge likely to affect the decision of the Company as to My/Our eligibility for insurance. This request and declaration shall be the basis of the quote request.

    YesNo