Quick Quote Commercial VehicleHomeQuick Quote Commercial VehicleVéhicule commercial (#24) @EnzoDébuterVéhiculePropriétaireCourrielAdresseDateQuestionConsentementCompany NameYour company's sector of activity- Select -RetailerWholesalerService companyReal EstateSelf-employedOtherPreviousNextNumber of vehicles to be insured?PreviousNextFirst NameSurnamePreviousNextE-mailPhone/MobilePreviousNextAddressAddress Line 1TownProvinceZip codePreviousNextDate of your company renewal (property and civil liability)?Date of your renewal vehicle for commercial use?PreviousNextHave you had any cancellations of your insurance for non-payment in the last 6 years? Yes NoPreviousNextThe information collected in this section allows us, among other things, to pre-qualify for your insurance needs and potentially provide you with an insurance quote. The information provided is stored in order to meet legislative and regulatory requirements. In addition, by filling in the form, you consent to our use, communication or sharing internally and externally (in particular with partner firms and/or Assurancia firms and/or insurers) and that we retain this information. Yes I agree to receive personalized advice or occasional information about Assur360 Tek Inc.'s products and services by e-mail. You can withdraw your consent at any time. I agreePreviousEnvoyer Last updated: April 10, 2026
