HiddenPaymentToken HiddenCategory HiddenPayment frequency HiddenItem valueHiddenPremium amountHiddenHas voucher Product Name Price: R0.00 Complete your product infoProduct make* Product make*Product model* Product model*Serial number* Serial number*Date of purchase* DD dot MM dot YYYY Date of purchase*PhotoAccepted file types: jpg, jpeg, png, Max. file size: 32 MB.Upload photo of product you’d like to insure Complete your personal infoType of client* I’m a brand new client I’m an existing client Full name* Full name as per ID document*Surname* Surname as per ID document*Email* Email address*Physical address* Physical address of insured product*ID number* ID number* Add a payment methodAdd a payment method* MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number* Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date* Security Code* Cardholder Name* Whatsapp number and Legal agreements - We're nearly thereWhatsApp Mobile number*WhatsApp Mobile number*Enter OTP Code* Enter OTP Code*Consent* I agree to the terms and conditions Consent I would like to receive marketing material from Comma Insure Total R0.00 HiddenLast 4 digits of card HiddenExpiry date
