Your Name:
Your Postal Address:
Your Email:
Owners name & address: (if different)
Telephone No: (please include your country code)
Country: Zimbabwe South Africa Botswanas United States United Kingdom Australia Afghanistan Albania Algeria Andorra Angola Antigua & Deps Argentina Armenia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia Herzegovina Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Rep Chad Chile China Colombia Comoros Congo Congo {Democratic Rep} Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland {Republic} Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Island Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar, {Burma} Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda St Kitts & Nevis St Lucia Saint Vincent & the Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia
Fax No: (please include your country code)
Contact Me: Telephone or Email Telephone Email
How did you hear about us? Newspaper Advertisement Google Search Friend Email Other Online Ad required
Address of dwelling house in Zimbabwe:
Construction:
a). Brick or Stone under Hard roof or corrugated Iron or Asbestos:
Yes No
b). Brick or Stone under Thatch:
Insurance Values:
a). Building Value: (Rebuilding Cost)
b). Contents Value: (Actual Value)
Cover Type: Comprehensive
Additional Comments:
Note: 1. Buildings valuation to include Main Dwelling, Quarters, Garages, Gates, Walls, Fences, Pumps, Pools, Motors Electric Fences.
2. Contents to include all Hard Furniture, Electrical Goods, soft Furnishings, Kitchen Equipment and Personal Effects etc.
3. Rebuilding costs in Zimbabwe are currently as high as US$ 600/700 or SAR 4200 per square meter. An average house in the low density suburbs has a rebuilding value of about US$ 150,000.
Click here for a printable form
Click here for an emailable form