Motor Insurance Quote

Looking for a motor insurance quote? Simply complete the form below and we will be in touch with a great quotation for you!

 

Vehicle Registration Number (if Known):

Vehicle Manufacturer:

Vehicle Model:

Vehicle Variant:

Vehicle Bodytype:

Vehicle Transmission:

Vehicle Fueltype:

Year of Manufacture:

Vehicle Value:

Estimated Annual Mileage:

Where will the vehicle be parked overnight:

Postcode of where the vehicle will be kept:

PERSONAL DETAILS

Title:

First Name:

Surname:

Date of Birth:

Email Address:

Home Phone Number:

Mobile Phone Number:

Have you been resident in the UK longer than 12 months?
Yes No 

Employment Status:

Driving Licence Type:

How long have you held a licence for?:

How many years No Claims Discount have you earned in the UK on a private car in your name? (your no claims discount proof must be no more than 2 years old):

Have you had any motoring claims, accidents or losses, regardless of blame, in the last 5 years, or has anyone made a motoring claim against you?

If Yes, please specify claim type, date and details of claim:

How many motoring convictions or fixed penalty notices have you received in the last 5 years?

If yes, please specify conviction code, date of offence, points, length of ban (if applicable).

Would you like to add any additional drivers?:

What is the vehicle used for?

Additional Information:

When would you like the cover to start (Must be within the next 45 days):

In order to service and administer your policy we will share your details with Great British Finance Limited and its group of companies and brokers. By completing this quote you are giving us permission to contact you via email regarding your quote for an annual policy. We will not contact you for any other reason unless you agree that we may do so.
Simply FInancial Advice Ltd and the GBF group of companies would like to use your personal details to:

- confirm, update and improve their customer records;
- analyse and develop their relationships with you;
- help in processing any applications you may make;
- identify and market products and services that may be of interest to you either directly or via GBF Insurance plc;
- carry out statistical analyses.

The Simply Financial Advice Ltd and GBF may also disclose your information to other carefully selected partners so they may let you know about other appropriate products or services which they feel may be of interest to you. The GBF group will not sell your information to third parties.
If you would prefer us not to contact you about other products, services and offers via any of the communication methods listed below, please select No in each case.

Telephone: Yes No 
SMS/Text: Yes No 
Post: Yes No 
Email: Yes No 

The information you provide may be used to check your details with other agencies and organisations to help prevent fraud and money laundering. Any false or inaccurate information you provide will be recorded. Full details are available in our Privacy Policy.

Please confirm you are happy with the selections above*

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