CONTACT INFORMATION

1.    *Your Name:      Title: 

2.    *Tel:       Mobile:      *Email: 

 

COMPANY INFORMATION

3.    Company Name:  

4.    Country:      City: 
       Address:       Zip Code: 

5.    Website: 

 

PRODUCT(S) INFORMATION

6.    Product1                 Sales in USD      Country/Region Exporting to
                  

7.    Product2                 Sales in USD      Country/Region Exporting to
                  

8.    Product3                 Sales in USD      Country/Region Exporting to
                  

  

Or email inquiries to china.products@aig.com

This form is for response to your inquiry on product liability insurance only. Completion of this inquiry form creates no obligation upon you to purchase insurance from us or upon us to offer insurance. All information supplied in this inquiry form will be kept confidential for your benefit. Please provide accurate information to better address your specific needs for product liability cover.