Quote Form - Competition Vehicle

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To obtain a quote please complete the form below and click Submit Request on completion

*All policyholders MUST hold a MSA Competition Licence*

Proposer Details:

Name:

Address:

Postcode:

Telephone Number:

E-Mail Address:

Date of Birth:

Occupation:

Business Type:


Vehicle Details:

Make and Model:

Registration Number:

Year of Manufacture:

Engine cc:

Value:

Specification (Grp N, Basic Clubman, Grp A or Clubman):
Other:

Who is the registered keeper of the vehicle:

Garaged? Give Postcode if yes:

Turbo?:

Non-Event Mileage:

Does your vehicle have an MSA Logbook?


Additional Driver Details:

Number of Additional Drivers (up to 4):


Convictions:

If YES give details of Date & Fine:

Previous Claims:

If YES give details of Date, Fault or Non Fault & Costs:


Cover Required:

Fully Comprehensive/Third Party Fire and Theft/Third Party Only?:

Is rally cover required? (provides TPO cover on road sections of rallies up to and including Nat A leve)l:

Road or Stage Rallies?:

Date Cover Required:


Target Premium:


Your Licence:

Licence Type:


Date Passed Test:

Competition Licence held:

Which Motor Club are you a member of:


How many years no claims bonus do you have on your Road Vehicle/Company Vehicle?


How many years no claims bonus do you have on your Rally Car?


Do you wish to protect the no claims bonus on your Rally Car?

Trailer Cover Required (Details and Value):

Other Details:

Now please click the Submit Request button below and your form will be sent to David Auden & Associates.

We will be in touch once your quote has been calculated.

Thankyou for your request.




Please call
0161 4407590 or email us on info@rallycar-insurance.co.uk

 

 

David Auden and Associates is authorised and regulated by the Financial Conduct Authority

Maple House, Maple Road, Bramhall, Stockport Cheshire. SK7 2DH
© Copyright belongs to Dave Auden & Associates

Tel: 0161 4407590

Email: info@rallycar-insurance.co.uk
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