Motor Trade Details

Name/Business Name*

Are you a full-time trader?*

Where do you trade from?*

What trade(s) do you require cover for? Please select all that apply:

Buy & Sell

Vehicle Sales
Car Jockey
Tyre fitting/tyre sales
Vehicle collection / delivery
Vehicle demonstrations
Vehicle importing / exporting

Services & repairs

Body repairs
Breakdown / recovery
Mechanical repair
Vehicle electrician
Vehicle servicing
Vehicle valeter
windscreen repair / fitting

Other

Accessory fitting
Car detailing
MOT prep / testing
Scrap Dealer
Window Tinting
Other (not listed)
windscreen repair / fitting

Experience & Cover Details

Type of cover*

Number of employees*

Number of drivers to insure*

How many years experience do you have trading?*

Motor trade no claims bonus*

How long have you held a full UK licence?*

Private car no claims bonus*

Any claims in the last 5 years?*

Any motoring convictions in the last 5 years?*

Your Details

Title*

Name*

First Last

Date of birth*

Mobile Number*

Landline Number (optional)

Email Address*

Address*

Street Address Address Line 2 City County Postcode

When would you like cover to begin?*

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Terms & Conditions*

I agree to the above terms and conditions & privacy policy

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Motor Trade Details

Experience & Cover Details

Your Details

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