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Title
Mr
Mrs
Miss
Ms
Dr
First Name
Surname
Building Number or Name
Postcode
Business Postcode:
Landline
Mobile
Email Address
Cover start date?
What type of cover would you like?
Comprehensive
Third Party Fire & Theft
Third Party Only
Date when business established:
Correct format
:
dd/mm/YYYY
[ E.g.: 02/10/1954 ]
Do you have Motor Trade or Private Car 'No Claims Bonus'?
Motor trade
Private car
How many years no claims bonus do you have?
0
1
2
3
4
5
6
7
8
9
Would you like to protect your bonus?
No
Yes
What level of indemnity (for road risks)
Please choose
£2,500
£5,000
£7,500
£10,000
£12,500
£15,000
£20,000
£25,000
£30,000
£35,000
£40,000
£45,000
£50,000
£+50,000
How much premises cover do you need (enter £0 if none)?
£None
£5,000
£7,500
£10,000
£12,500
£15,000
£17,500
£20,000
£22,500
£25,000
£27,500
£30,000
£35,000
£40,000
£45,000
£50,000
£55,000
£60,000
£65,000
£70,000
£75,000
£80,000
£85,000
£90,000
£95,000
£100,000
Do you need demonstration cover?
No
Yes
Are you a full time motor trader?
Yes
No
Would you like a higher additional excess (to the standard £250)?
£0
£250
£400
£500
£650
£750
£900
Are you member of any of these trade associations?
None
BIMTA - British Independent Motor Trade Association
Federation of Automatic Transmission Engineers
Motor Vehicle Repairers Association
Retail Motor Industry Federation
SMTA - Scottish Motor Trade Accociation
The Society of Motor Manufacturers & Traders
AVRO - Association of Vehicle Recovery Operators
vbra - The Vehicle Builders & Repairers Association
VAT registered?
No
Yes
How many drivers do you need to cover?
Proposer only
Proposer + 1
Proposer + 2
Proposer + 3
Proposer + 4
Proposer + 5
Please complete the following table for each driver
Driver
Age
License
Additional
Business Use?
Claims or Convictions?
Delete
--
Proposer
Spouse (with business use)
Spouse (without business use)
Fellow Director
Employee
Employee with SDP
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
<1
1
2
3
4
5
6
7
8
9
9+
Delete Driver
--
Proposer
Spouse (with business use)
Spouse (without business use)
Fellow Director
Employee
Employee with SDP
» Home Postcode
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
<1
1
2
3
4
5
6
7
8
9
9+
Delete Driver
--
Proposer
Spouse (with business use)
Spouse (without business use)
Fellow Director
Employee
Employee with SDP
» Home Postcode
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
<1
1
2
3
4
5
6
7
8
9
9+
Delete Driver
--
Proposer
Spouse (with business use)
Spouse (without business use)
Fellow Director
Employee
Employee with SDP
Home Postcode
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
<1
1
2
3
4
5
6
7
8
9
9+
Delete Driver
--
Proposer
Spouse (with business use)
Spouse (without business use)
Fellow Director
Employee
Employee with SDP
Home Postcode
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
<1
1
2
3
4
5
6
7
8
9
9+
Delete Driver
--
Proposer
Spouse (with business use)
Spouse (without business use)
Fellow Director
Employee
Employee with SDP
→Home Postcode
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
<1
1
2
3
4
5
6
7
8
9
9+
Delete Driver
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