Insurance Registration Form

Billing details

Your order

Product Subtotal
×  MPV / SUV
 
RM48.00
×  Car (COMPULSORY + VOLUNTARY PACKAGE)
 
RM178.00
×  Motorcycle (COMPULSORY + VOLUNTARY PACKAGE)
 
RM299.00
×  Truck / Pickup (COMPULSORY + VOLUNTARY PACKAGE)
 
RM198.00
Subtotal RM723.00
Shipping
Total RM723.00

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