Motor Quotation Request
Name of Proposer:
E-Mail:
Type of vehicle:
Private
Commercial
P.S.V.
Motor Cycle
Scope of Cover:
Sum Insured:
Any claims in the last 3 years:
Yes
No
to
Nairobi - Kenya
Mombasa - Kenya
Eldoret - Kenya
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FIDELITY SHIELD INSURANCE COMPANY LIMITED
SERVICE STRENGTH INTEGRITY
®2001