Leclerc Assurances

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If you are a broker, please use the form available in the secure portal. Click here to access the secure portal.

IMPORTANT MESSAGE : As a "special broker", we are authorized to offer Mexico insurance products.

INFORMATION ABOUT THE INSURED

First name

Last name

City

Postal code

Phone (home)

Phone (mobile)

Phone (work)

Preferred phone

When to be reached

Comments

INFORMATION FOR THE STAY

Date when entering in Mexico

How many days will you stay?

Days

INFORMATION ABOUT THE VEHICLE

Click on the vehicles for which you want to get a Mexico insurance quotation.

I agree to be contacted by Leclerc Insurance and Financial Services to get offers regarding insurance solutions.

Yes