Green Card!

You will automatically receive the insurance policy via email after payment is made.

1
Insured person
2
Confirmation

Insured IDNP or IDNO *

Vehicle/trailer registration certificate *

Start Date *

Validity Area *

Insurance Period *

How do you want to receive the insurance policy?

Online (email)

I agree with the MOLDASIG Terms and Conditions, including the Payment Terms and Conditions, and I give my consent for the processing of personal data.

Vehicle:

Insured person:

Insured period:

MDL

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Validity Area

Registration certificate (vehicle):

Insured period:

Insured:

Drivers

Unlimited

Ownership of the vehicle:

Personal

Insurance company:

MOLDASIG

Total price:

0 MDL

Right of possession of the car? *

Personal

Leasing

Rent (mandate)

Attorney

First Name *

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Last Name *

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Phone number *

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Email *

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Pay with

Bank card (online)

2
Confirmation

Moldasig offers more safety with the travel medical insurance policy!

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We are always at your disposal!

Insurance

Damages

Network

Order online

Consumer

Additional

Green Card!

MDL