Philippines’ first telephone-based direct-to-consumer
car insurance provider.
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Thinking of selling your car or buying a new one? Check out
Direct Link Classifieds
.
Fill in the form below and you'll be surprised how much you can save on your car insurance with Direct Link!
Your total discount entitlement shall be based on your provided information.
First Name
Last Name
Civil Status
Single
Married
No. of kids if any
Birthday
(mm/dd/yyyy)
Residence Address
Type of Residence
Owned
Rented
Mortgage
Occupation
:
Office work
Homemaker (housewife, househusband)
Sales / Marketing
Others (Please specify)
Office Address
:
Work responsibility/Position
Telephone no
:
Mobile nos.
:
E-mail Address
:
Expiration Date of current insurance policy :
Overnight Parking :
Residence with locked garage
Residence within subdivision / village
Neither of the above
Office Parking :
Covered
Open
Where did you learn about Direct Link :
Print Ads / Billboard / Yellowpages
Referred by a friend or relative
Internet, search engine
I am an existing client
Vehicle Description
Year
:
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Brand
:
Audi
BMW
Chana
Cherry
Chevrolet
Chrysler
Dodge
Ferrari
FORD
FOTON
Great Wall
Honda
Hyundai
ISUZU
JAC
JEEP
JINBEI
KIA
LAND ROVER
LEXUS
LIFAN
MAZDA
MERCEDES BENZ
MINI
MITSUBISHI
NISSAN
PEUGEOT
PORSCHE
SSANGYONG
SUBARU
SUZUKI
TOYOTA
VOLKSWAGEN
VOLVO
Model
:
Transmission
:
Manual
Automatic
Fair Market Value
:
Plate no
:
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