http://www.mybejachbaccount.com

We provide competitively priced freight insurance that typically averages 3%-5% less than most companies. In addition, there is no cap on the value of your insured goods. Fill out the form below to receive your Free Quote.

First Name:

Last Name:

Name/Company Name of Insured:

Company Name:

Address 1:

Address 2:

City:

State:

Zip:

Country:

Phone:

Fax:

E-mail Address:

Conveyance:

Full Container
Less Than Container
Air Freight
Rail
Full Truck Load
Less Than Truck Load




Please fill in the following boxes.


Name of carrier:

Name of vessel:


How Packed:

Professionally Packed Owner Self Packed Factory Packed

Package Type:


New or Used:

New
Used

Full Cargo Description:


Special Marks/Numbers:

Insured Value=
Value+Freight+10%

Date of Departure

Country Of Origin:

Port/Airport/City of Loading:

State:


Destination Country:

Port/Airport/City of Arrival:

State: