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There's still time! Get your insurance quote now and take advantage of the last days of the discount.

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Seguro de Equipamento portátil

Insured's Name:*

CPF or CNPJ (enter the numbers without hyphens)*

RG (enter the numbers without hyphens)*

0000000000

Date of birth*

DD/MM/YYYY

Your best email*

WhatsApp phone number (add area code):*

000000000

Residential address:*

Residential and Overnight Zip Code (enter the numbers without hyphens)*

00000000

Is the device new?*

Yes

What type of equipment?*

CAMERA

MEMORY CARD

HEADSET

NOTEBOOK

SMARTPHONE

SMARTWATCH

SMART RING

CHARGER SUPPORT

Inform the BRAND*

IPHONE

Device model:*

iPhone 16

How many gibbons?*

256g

Product value:*

R$ 15,000.00

What coverages are included in the contract?

Accidental Damage from Falls and Liquids

ACCIDENTAL BREAKAGE

ROBBERY AND SIMPLE THEFT

DIGITAL TRANSACTIONS AND PIX

Widow(er)

How did you hear about Dareli Seguros?

Friend's referral

Broker's website

Google

Instagram

Tweets/X

If this is a referral from a friend, what is their full name?

Do you have a valid insurance policy with any insurance company?

No, it's a new insurance policy.

Yes, it's a renovation.

If it's a renewal and the answer is YES, has this policy had a claim?:

Which insurance company?

Example: PORTO SEGURO

How is my data used?

We use this information to activate, simulate, or quote products.

Your data is protected!

The information provided is safe and protected in accordance with the General Data Protection Law (LGPD - Law 13.709/2018).

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