Obtain a quote

To obtain, free of charge, and with no further obligation:

a price simulation:
     find out the annual cost for you of a credit insurance coverage (premium + surveillance)
     please fill in part 1 of the form below

a comparative study:
    receive quotes from different insurers
    please fill in part 1 & 2 of the form below
    
    

1 / Price simulation

Company information

Corporate name :
Address :
Registration number :

Contact information

	Mrs  Ms  M
Name & surname:
Phone:
Email:

Insured annual revenue

Domestic:	euros
Export:	euros

Number of clients insured

Domestic:
Export:

Last year’s total amount of unpaid receivables

Domestic:	euros
Export:	euros

2 / Comparative study

Description of activity

Client categorization

		Domestic market	Export
	Supermarket chains
	Wholesalers
	Retailers
	Industrials
	Other

Payment conditions

		Domestic market	Export
	Pre-payment
	Cash
	30 days
	60 days
	90 days
	> 90 days

Export

Country	Number of clients	Turnover (Euros)

Main clients

	Corporate name	Registration number	Turnover (Euros)
Domestic market
	Corporate name	Address	Turnover (Euros)
Export

Five largest unpaid receivables

Corporate name	Registration number or full Address	Amount of debt (Euros)	Date of invoice

Are you currently insured?

	yes / no	Name
Factoring	yes no
Trade credit insurance	yes no