Fill in the following form and we will contact you. Pastaba: visi Jūsų įvesti duomenys į sistemą bus naudojami tik draudimo sutarties ar draudimo pasiūlymo sudarymui ir nebus perduoti tretiesiems asmenims. Vehicle owner: Personal / company code: Vehicle registration address: Vehicle make, model: Type of vehicle: Passenger cars (M1) Commercial vehicles (N1, N2, N3) Truck trailers, semi-trailers (O2, O3, O4) Passenger car trailers (O1) Buses (M2, M3) Cycles, mopeds and motoreleriai (L1, L2, L3, L4, L5) Tractors and self-propelled machinery Tractors and self-propelled machines trailers, semi-trailers Vehicle specifications: Passenger car (engine displacement up to 1300cm³) Passenger car (engine capacity of up to 1301cm³ 1800cm³) Passenger car (engine capacity of up to 1801cm³ 2000cm³) Passenger car (engine 0tūris from 2001cm³ to 2500cm³) Passenger car (engine capacity over 2,000 cc) Trucks (total weight up to 3.5 tons) Trucks (total weight of over 3.5t to 12t) Trucks (total weight over 12 tons) Truck trailers (total weight up to 0,75t) Truck trailers (total weight over 0,75t up to 3.5 t) Truck trailers (total weight of over 3.5t to 10t) Truck trailers (total weight over 10 tons) Cars trucks (total weight up to 0,75t) Cars trucks (total weight over 0,75t up to 3.5 t) Cars trucks (total weight over 3.5 t) Atobusai (total weight up to 5t) Buses (total weight over 3.5 t) Motorcycles, scooters (engine capacity of up to 350cm³) Motorcycles, scooters (engine displacement over 350cm³) Tractors and others. trailer (total weight up to 0,75t) Tractors and others. trailer (total weight over 0,75t up to 3.5 t) Tractors and others. trailer (total weight of over 3.5t to 10t) Tractors and others. trailer (total weight over 10 tons) Vehicle registration number: Last policy expiration date: Last valid policy series and number: Contact person*: Phone nr.*: Email*: Send
