Home
Contact us
MJD News
Quote me
Knowledge Base
Home
Contact us
MJD News
Quote me
Knowledge Base
MJD Risk Insurance Brokers
Short Term Insurance
and Risk Management Consultants
“Partners in your Risk”
Title
First Name
Last Name
Occupation
ID Number
Age
Cell number
Email
Marital Status
Select value
Married/Co-habiting
Single
Divorced?seperated
Widowed
Other
Risk Address
Street number and name
Suburb
City
Province
Postal code
Previously insured?
Select value
Yes
No
Number of claims in the last 3 years?
Select value
0
1
2
More than 2
Choose one or more
Contents
Buildings
Motor
All Risks
Personal Liability
Personal Accident
Caravans/Trailer
Small craft
Click here for definitions of above cover
Contents cover required?
Select value
Yes
No
Cover
Select value
Full
Limited (Theft exckuded)
Replacement value of contents
Contents Premium
NB Definition of average
Construction
Select value
Standard
Non Standard
Thatch roof
Construction premium
Accidental damage
Select value
Yes
No
Accidental damage premium
R
Power Surge R25 000
Select value
Yes
No
Power Surge Premium
MJD Creations
Our Latest Posts
Subscribe to our newsletter
About us
Company details
Company history
Privacy Policy
Legal Disclaimers
Insurance Companies
Client Portal Login
Upload files
Domestic Product Comparison
About us
Company details
Company history
Privacy Policy
Legal Disclaimers
Insurance Companies
Client Portal Login
Upload files
Domestic Product Comparison
Contact info
0825706989
0861134135
0865035110
Follow us
Facebook
Twitter
Google-plus
Linkedin
