car insurance

CAR INSURANCE

We have access to a wide range of insurers and schemes for car insurance, providing flexibility and value for money for our customers.

 

Our experienced advisors will search for a competitive quotation with cover suited to your needs, and we have a wide range of 'add-on' products available to you, from vehicle breakdown to legal expenses cover.

 

Please complete the quotation request below or click here if you would like a consultant to call you.

call us on 01726 61811

GET A CAR INSURANCE QUOTE...

about you...

Proposer's Name

Email address (required)

 

Address

 

Postcode

 

Telephone No

 

Date of birth

 

Sex

Male Female

Marital status

Married Single

Are you a homeowner?

 Yes  No

Do you have any children under 17 years of age?

 Yes  No

if yes, how many?

Driving licence

 Full  Provisional

Date licence obtained:

 

Do you own or have use of another car?

 Yes  No

Do you have any convictions in the last 5 years or drink driving convictions in the last 10 years?

  Yes   No

If yes, please detail here including date of convictions, codes, length of any disqualifiations and fines imposed

Have you had any accidents claims or losses on any motor insurance within the last 5 years?

Yes No

If yes, please give details below including dates

 

Your main occupation

Class of use required

Your annual mileage

,000 miles

Insured Persons

 
Please select then click 'move on' next to your selection...
 

  Insured only... now move on

  Insured plus spouse... now move on

  Named drivers... now move on

 

  Open driving... now move on

Your Spouse's details

Name

 

Date of birth

 

Occupation

 

Please let us know here about your spouse's convictions in the last 5 years (10 years for drink driving convictions) including date of convictions, conviction codes, length of any disqualifiations and fines imposed.

 

Any accidents? please detail here including dates

 

NAMED DRIVER DETAILS

A maximum of 4 named drivers are permitted

 

Named driver 1 (name)

 

Date of birth

 

Occupation

 

Relationship to you (if none please state 'none')

 

Driving licence

Full Provisional

Date obtained

 

Please let us know here about this driver's convictions in the last 5 years (10 years for drink driving convictions) including date of convictions, conviction codes, length of any disqualifiations and fines imposed.

 

Any accidents? please detail here including dates

 

 

 

Now please complete named driver 2 details or click here to complete the information about your car

 

Named driver 2 (name)

 

Date of birth

 

Occupation

 

Relationship to you (if none please state 'none')

 

Driving licence

Full Provisional

Date obtained

 

Please let us know here about this driver's convictions in the last 5 years (10 years for drink driving convictions) including date of convictions, conviction codes, length of any disqualifiations and fines imposed.

 

Any accidents? please detail here including dates

 

 

Now please complete named driver 3 details or click here to complete the information about your car

 

Named driver 4 (name)

 

Date of birth

 

Occupation

 

Relationship to you (if none please state 'none')

 

Driving licence

Full Provisional

Date obtained

 

Please let us know here about this driver's convictions in the last 5 years (10 years for drink driving convictions) including date of convictions, conviction codes, length of any disqualifiations and fines imposed.

 

Any accidents? please detail here including dates

 

 

Now please complete named driver 4 details or click here to complete the information about your car

 

Named driver 4 (name)

 

Date of birth

 

Occupation

 

Relationship to you (if none please state 'none')

 

Driving licence

Full Provisional

Date obtained

 

Please let us know here about this driver's convictions in the last 5 years (10 years for drink driving convictions) including date of convictions, conviction codes, length of any disqualifiations and fines imposed.

 

Any accidents? please detail here including dates

 

car DETAILS

Registration Number

Make of Car

 

Model

 

Engine size (cc)

 

Registration date

 

Approx purchase date

 

Value

Has the vehicle been modified?

Yes No

if yes, please give details

 

What security does the car have? If none please select 'no security'

 

Value

 

FURTHER INFORMATION

No claims discount (NCD) available

or  years

Protected NCD required?

Yes No

Overnight parking

 

Cover required

  Comprehensive
  Third Party Fire & Theft
  Third Party only

Cover required from

 

Renewal date of present insurance ( if applicable)

 

Current Insurer

Your maximum budget

 

Any additional information you wish to tell us

 

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