Provide your commercial insurance renewal dates

The form contains errors.
The fields containing errors are indicated in red, and the error messages are adapted to the fields in question.

Your entry has been saved. Thank you for the trust you have placed in us.

Fields marked with (*) are mandatory.

Company name *

Industry *

Specify (business office or service business) *

Specify (health services) *

Specify (financial and insurance) *

Specify (real estate) *

Specify (communications) *

Specify (administration) *

Specify (professional services) *

Specify (condominium building) *

Specify (retail) *

Specify (food) *

Specify (pets) *

Specify (auto) *

Specify (miscellaneous) *

Specify (electronics) *

Specify (furniture and accessories for homes) *

Specify (renovation and construction) *

Specify (health and beauty care) *

Specify (sports, leisure and entertainment) *

Specify (clothing and accessories) *

Specify (construction and renovation contractor) *

Specify (daycare) *

Specify (garage) *

Specify (real estate) *

Specify (beauty salon) *

Specify (other) *

Address *

Office or P.O. Box

City *

Province *

Postal code *

Telephone *

Contact person

First name *

Last name *

Email address *

Renewal dates of current insurance coverage

Commercial (Property and liability insurance) *

Commercial vehicles *

I agree to receive by electronic means information on products and services, new features and special offers and promotions of Beneva Inc., its affiliated companies and their autorized reprentatives^*. This consent may be revoked at any time.

I agree

^* Beneva Insurance Company Inc., Beneva investment Services Inc.
Address : 625, rue Jacques-Parizeau, Québec (Québec) G1R 2G5

La Capiatale Financial Security Insurance Company
Address : 7150 Derrycrest Drive, Mississauga, Ontario, L5W 0E5
beneva.ca

By continuing, you agree that an authorized representative of Beneva will contact you at the telephone number entered previously to offer you a commercial insurance product.

Contact Information

David Nardi

Damage insurance agent

755, boulevard Saint-Jean, bureau 140
Pointe-Claire (Québec)
H9R 5M9

1 855 747-7711

1 866 833-0333