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Classic car insurance

Classic car insurance Vintage car insurance

Standard range of motor risks
Agreed value settlement
Low-mileage discounts
Flat-rate premium not subject to No Claims Discount for low-mileage cars
Cherished number-plate indemnity
Qualify from only 10 years old
Windscreen cover for third party fire and theft risks
No claims discount protection for motor vehicle risks

If you would like to receive a free "no obligation" quotation via email please submit the form below.

Data Protection Act, 1984. Your details will be stored on computer, only to handle your enquiry.

SECTION 1
ALL QUESTIONS IN THIS SECTION SHOULD BE ANSWERED
Name and address
Tel (Business)
Tel (Home)
Fax
Postcode
 Email
SECTION 2
THE QUESTION IN THIS SECTION MUST BE ANSWERED
Do you have~unrestricted use of another car - Yes / No
SECTION 3
ALL QUESTION IN THIS SECTION MUST BE ANSWERED

DRIVER ~INFORMATION
YOU
Occupation
Self Employed : Yes / No
Date of Birth
Date UK test passed
If convictions - what and when
What endorsements code
How many points
If accidents in the last 3 years - cost
Fault/Non Fault
Any Disabilities (what)
If a Club Member which
SECTION 4
ALL QUESTIONS IN THIS SECTION MUST BE ANSWERED IF THIS SECTION IS APPLICABLE

DRIVER ~INFORMATION
SPOUSE
Occupation
Self Employed : Yes / No
Date of Birth
Date UK test passed
If convictions - what and when
What endorsements code
How many points
If accidents in the last 3 years - cost
Fault/Non Fault
Any Disabilities (what)
If a Club Member which
SECTION 5
ALL QUESTIONS IN THIS SECTION MUST BE ANSWERED IF THIS SECTION IS APPLICABLE

DRIVER ~INFORMATION
ADDITIONAL DRIVER 1
Occupation
Self Employed : Yes / No
Date of Birth
Date UK test passed
If convictions - what and when
What endorsements code
How many points
If accidents in the last 3 years - cost
Fault/Non Fault
Any Disabilities (what)
If a Club Member which
SECTION 6
ALL QUESTIONS IN THIS SECTION MUST BE ANSWERED IF THIS SECTION IS APPLICABLE

DRIVER ~INFORMATION
ADDITIONAL DRIVER 2
Occupation
Self Employed : Yes / No
Date of Birth
Date UK test passed
If convictions - what and when
What endorsements code
How many points
If accidents in the last 3 years - cost
Fault/Non Fault
Any Disabilities (what)
If a Club Member which
SECTION 7
ALL QUESTIONS IN THIS SECTION MUST BE ANSWERED

VEHICLES TO QUOTE ON
VEHICLE 1
Make
Model
cc.
Year
Value
Any modifications including left hand drive
Mileage required 500 2000 3000 5000 or 8000
Cover required - Comp or Laid up
Are vehicles kept in locked garage at home
If not - where are they kept - including postcode
Value of car radio
Standard use of vehicle is social domestic and pleasure excluding commuting. Do you require (at extra cost):
Commuting Yes / No
Business use Yes / No
Wedding: hire Yes / No - how manly per year
SECTION 8
ALL QUESTIONS IN THIS SECTION MUST BE ANSWERED IF THIS SECTION IS APPLICABLE

VEHICLES TO QUOTE ON
VEHICLE 2
Make
Model
cc.
Year
Value
Any modifications including left hand drive
Mileage required 500 2000 3000 5000 or 8000
Cover required - Comp or Laid up
Are vehicles kept in locked garage at home
If not - where are they kept - including postcode
Value of car radio
Standard use of vehicle is social domestic and pleasure excluding commuting. Do you require (at extra cost):
Commuting Yes / No
Business use Yes / No
Wedding: hire Yes / No - how manly per year
SECTION 9
Current insurer
Current or best premium quoted
Excess
SECTION 10
Name of person completing the form, who agrees that the answers given are truthful and will be used as the basis for an insurance policy if premium and terms are acceptable:
Date