Thank you for choosing the Corporate Care Plan
Kindly fill out this form and someone from our customer success team will send you an online invoice to finalize the purchase of your insurance plan shortly.

Insurpass Technologies Ltd. For enquiry and assistance, kindly call 0812 148 8012.
Sign in to Google to save your progress. Learn more
Email *
Email *
Name of company/business *
How many employees are you purchasing for? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy