Looking for insurance for Service Barges? Click here
To obtain a quote please complete the form below and click Submit Request on completion
*All policyholders MUST hold a MSA Competition Licence*
Date of Birth:
Make and Model:
Year of Manufacture:
Specification (Grp N, Basic Clubman, Grp A or Clubman):
Road Legal Circuit Racing
Who is the registered keeper of the vehicle:
Garaged? Give Postcode if yes:
Up to 1000 miles pa
Up to 2000 miles pa
Up to 5000 miles pa
Up to 8000 miles pa
Does your vehicle have an MSA Logbook?
Additional Driver Details:
Number of Additional Drivers (up to 4):
If YES give details of Date & Fine:
If YES give details of Date, Fault or Non Fault & Costs:
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:
Date Passed Test:
Competition Licence held:
Trailer Cover Required (Details and Value):
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.
0161 4407590 or email us on email@example.com
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