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Address
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Email
Telephone
Company Name
Company Registration Number
Business Description
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Trading Name
Risk Address (if different)
Insurance History
No Claims Years Available (1-5)
Name of present insurer
Renewal Date
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Renewal Premium offered
Trade of Business
sales
repairs
collection
Specify below in percentage terms
Vehicle purchase and re sale
%
Mechanical/Servicing/Overhauls
%
Crash repairs/spraying
%
Car breaking/sale of second hand parts
%
Body builders/commercial vehicles repairs
%
Car accessories/distributing/fitting
%
Valeting/steam cleaning/renovations
%
Carriage of trade goods
%
Accident/breakdown recovery
%
Motorway recovery
%
Any other use, please specify
%
Vehicle to be covered in percentage terms
Private cars
%
Motor cycles/steam driven vehicles
%
Sports of high performance vehicle
%
American/Canadian vehicles
%
Custom/kit built cars
%
Vintage/classic cars/vehicles over 25 years old
%
Commercial vehicles under 3.5 tons
%
Commercial vehicles over 3.5 tons
%
Coaches/Minibuses/vehicles with more than 7 seats
%
Left Hand Drive
%
Breakdown trucks/Recovery vehicles
%
List of all vehicles currently for sale
Make/Model
Type of body
Year of make
Cubic Capacity/Carrying Capacity
Date of purchase
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Price Paid
Present Trade Value
Registration number
Premises
What type of premises do you occupy:-
Work from home
Workshop
Warehouse
Lock-Ups
Forecourt
Showrooms
Yard
Open site
Office
Specify other type of premises or if Hometune mechanic
Cover
Type of Cover:-
Third party only
Third Party Fire & Theft
Comprehensive
Please state the number of vehicles in your possesion at any one time
Do you have a trade plate, if so index number
Is cover for Demonstration by purchasers required
To the best of my knowledge I believe the information given to be true and correct.
