Auto & Non-life insurance agent with English support desk

"Chiben Anshin"
upper-class agent of Mitsui Sumitomo Insurance


 

If you want to have estimate for car, home, etc...
please fill in the below form and simply click !

We can send you the insurance plan and cost for your best benefit by e-mail, FAX, or phone

Please try NOW!

What kind of Insurance are you looking for ???

auto insurance  Fire insurance  Travel Insurance  
PL(product liability insurance)  Liability insurance
other >>> please specifie >>> 


How can we reach you ???

e-mail  FAX   Residence Phone number  Cell Phone Number  Any method


Personal Information :

name (First/Middle/Last)


domestic address
zip code (〒）

Prefecture (i.e. Hiyogo-ken)

City (i.e.  Kobe-shi)
 
Address (i.e. minato-ku, kaigandori)

Number (i.e. 1-2-43-101)



Phone number


Cel Phone (Ke-tai) number


FAX number


e-mail address #1


e-mail address #2

					Did you type all boxies ????
Now process your form mail to us !!





For More Informtion  e-mail chiben@odi.jp>>>    phone : 06-4803-6612   FAX : 06-4803-6616




Chiben Anshin
web insurance desk  ODI Company, Osaka, Japan