Quick Quote

QUICK QUOTE

Please note that the Quick Quote format is only intended to accommodate “straightforward” enquiries. If you cannot comply with the Eligibility Criteria please do not hesitate to telephone our office 01249 782800 during working hours (Monday - Friday, 9.00am-5.30pm) to discuss your requirements. Our classic car team are very experienced and confident they will be able to help.

Eligibility Criteria

All drivers

must be over 25 years of age
must have held a full UK driving licence for 3 year or more
must be permanently resident in the UK

The policyholder

must be the registered owner
must have the main use of another vehicle which must not be the subject of a Classic Car policy

The classic car(s)

must be over 15 years old
must be kept permanently in the UK other than use during a holiday trip
must not be driven in excess of 5,000 miles per annum
must not be modified

Cover:	Comprehensive
Use:	Social, Domestic and Pleasure excluding travel to and from a permanent place of work
Garaging:	When the car is not in use and is at the declared garaging address at night, it must be kept in a locked garage or kept within the boundaries of the home.

ENQUIRY FORM

THE PROPOSER

Title	Surname	Forenames

ADDRESS

Address1
Address2
Town
County		Postcode

CONTACT DETAILS

Daytime telephone number
e-mail address

DRIVER DETAILS
Give details of yourself (the proposer) and all other drivers

Full Name	Date of Birth	Occupation
PROPOSER

Has the proposer or any of the named drivers

		Yes	No
Had an accident, loss or claim during the last five years?
Been convicted of any offence or incurred a fixed penalty during the past five years?
Any prosecutions outstanding?
Had a driving licence suspended at any time?
Had any physical or mental infirmity which may impair the ability to drive and which is notifiable to the DVLA?
Resided outside the UK in the past three years?
Ever had motor insurance:
	declined cancelled or declared void?
	where special terms were applied?

If the answer to any of the above is YES, please give further details below:

Driver Name	Date	Details	Costs	Conviction code/fine
PROPOSER

VEHICLE DETAILS

Make & Model	Engine size (cc)	Year	Value	Reg No	Postcode*	Garaged	Annual Mileage
						YES NO
						YES NO

*Where car is kept overnight unless in the course of a journey

Your quotation will be sent in the post or via e-mail, usually the next working day. For more urgent requirements or quotations please telephone us on 01249 782800.

I understand that this form is for quotation purposes only and does not constitute a proposal form nor does it place me under any obligation.