Cycles Sales Quotation

You can request a sales quote using this form. Please fill out all of the required information so that we can correctly identify and quote on your selected cycle.

Make / Model of Cycle *

Select the cycle you are interested in receiving more information on.
Desired Colour of Cycle *

Enter the desired colour(s) for your new cycle.
Estimated Delivery Date * / DD / MM YYYY
Enter the date when you wish to take delivery of your new cycle from HWP.
Desired Accessories Helmet Box Lock Other
Select any desired accessories you would like with your cycle.
Contact Info
Name * First Last
Enter your first and last name.
Email *

Enter your email address.
Address *

Enter your mailing address.
Phone - Day * - (###) - ### ####
Enter your daytime phone number.
Phone - Night * - (###) - ### ####
Enter your evening phone number.
Phone - Mobile - (###) - ### ####
Enter your mobile phone number.
Insurance Information
Insurer *

Select your desired insurance provider.
Date of Birth * / DD / MM YYYY
Enter your date of birth.
Existing Policy Number

Enter your insurance policy number.
Licence Number

You only need this field if you are replacing an existing vehicle
Class of License *

The Class of License is listed on your license from TCD. Class 2 licenses are available to those 18 years of age and older and allow for operation of 100cc to 150cc cycles. Class 2a licenses are available to those 16 years of age and older, and allow for operation of 50cc to 100cc cycles (commonly called an auxiliary license).
When did you obtain your motor cycle license? *

Please enter the number of years you have been licensed to drive a motorcycle in Bermuda.
Any Traffic Offences in the last 5 years? * Yes No
Any Insurance Claims in the last 5 years? * Yes No
Bank Information
Bank Butterfield (BNTB) Bank of Bermuda (HSBC) Capital G BIU

Cycles Sales Quotation

Cycles Sales Quotation

Contact Info

Insurance Information

Bank Information