Category Archives: Uncategorized

Let Property Insurance

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s)
• Surname
• DOB *
• Age
• Gender *MaleFemale
• Daytime Telephone
• Mobile Telephone
• Email *
• Address Line1 *
• Address Line2
• City/Town *
• Postcode *
• Time at address *Years--123456789101112131415161718
• &nbsp Months--1234567891011
• UK Resident since
• Nationality United KirUnited KingdomOption 3
• Marital Status -----MarriedSingalDivorcedCo-HabitingWidowed

 

Have You

• Suffered any loss or incurred any liability, weather insured or not, during the last 3 years as a result of the risks proposed (weather at this or any other premises) or had any claims made against you?--YesNo
• Been convicted of or in the course of being charged with any offence (excluding driving offenses)?--YesNo
• Been declared bankrupt or been a director of any company that special terms applied by any insurer?--YesNo
• Had any insurance declined, cancelled, refused or any special terms applied by any insurer?--YesNo

 

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Professional Indemnity Insurance

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s)
• Surname
• DOB *
• Age
• Gender *MaleFemale
• Daytime Telephone
• Mobile Telephone
• Email *
• Address Line1 *
• Address Line2
• City/Town *
• Postcode *
• Please provide basic details of your enquiry: *

 

Verification

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• This box is for spam protection - please leave it blank:

Motor Trade Insurance

May 21, 2013Uncategorizedadmin

Coming soon!

Learner Driver Insurance

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s)
• Surname
• DOB *
• Age
• Gender *MaleFemale
• Daytime Telephone
• Mobile Telephone
• Email *
• Address Line1 *
• Address Line2
• City/Town *
• Postcode *
• Please provide basic details of your enquiry: *

 

Verification

• Please enter any two digits with no spaces (Example: 12) *
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Commercial Van Insurance

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s) *
• Surname *
• Date of Birth *
• Address Line 1 *
• Adresss Line 2 *
• Town/City *
• Postcode *
• Years UK resident *
• Gender *MaleFemale
• Marital Status *
• Occupation *e.g Factory Worker
• Type of Business *e.g. manufacturing
• Type Of Licence *
  Full Uk LicenceEuropean LicenceProvisional Licence
• Vehicle Registration Number *
• Make/Model, Engine Size (cc), Value, Petrol Diesel *
• Overnight Parking *
  Public RoadKept on DrivewayGarage
• Access to Other Vehicles *
• Accidents in the last Five Years *
• Convictions in the Last Five Years *
• Disabilities *
• Additional Drivers *Please enter the additional drivers name, Address, Date of Birth, Full UK Licence Held Since, Occupation and Any Accidcents/Convictions in the last five years.
• Renewal Date *
• Contact Number *
• Email *

 

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Industrial Insurance

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s)
• Surname
• DOB *
• Age
• Gender *MaleFemale
• Daytime Telephone
• Mobile Telephone
• Email *
• Address Line1 *
• Address Line2
• City/Town *
• Postcode *
• Please provide basic details of your enquiry: *

 

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Mini Bus & Coach

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s)
• Surname
• DOB *
• Age
• Gender *MaleFemale
• Daytime Telephone
• Mobile Telephone
• Email *
• Address Line1 *
• Address Line2
• City/Town *
• Postcode *
• Please provide basic details of your enquiry: *

 

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Truck & Haulage Insurance

May 21, 2013Uncategorizedadmin

Quote Form

• Title MrMrsDrProfMiss
• First Name *
• Middle Name(s)
• Surname
• DOB *
• Age
• Gender *MaleFemale
• Daytime Telephone
• Mobile Telephone
• Email *
• Address Line1 *
• Address Line2
• City/Town *
• Postcode *
• Please provide basic details of your enquiry: *

 

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Religious Building Insurance

May 20, 2013Uncategorizedadmin

Quote Form

• Building
• Fixtures & Fittings Inc. Carpets
• Kitchen Fixtures & Fittings & Stock
• Spacial Glass
• Money
• Public Liability
• Employers Liability
• Employers Liability 5 Million Minimum
• Legal Expences 75,000 --YesNo
• Building Subsidence --YesNo
• Accidental Damage --YesNo
• Containts Accidental Damage --YesNo
• Please provide basic details of your enquiry:

 

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Let Property Insurance

May 20, 2013Uncategorizedadmin

Under Construction