Quote Me!

Please complete the form bellow for an URGENT insurance quotation, click the submit button
and we will be back with a quote ASAP.....

IT'S AS SIMPLE AS THAT!

Tell us what you need, insurance? tracking? vehicles? or even an accountant or tax advice?



Address Inc Postcode:


Date of birth:


Marital status (get 10% discount if married):


Landline Phone Number:


Mobile Phone Number:


Nature Of Business:


Goods Carried:


Any Hazardous:


Experience as a courier:


European Work:


Email Address:



Vehicle Details

Vehicle Type:


Vehicle Registration:


Vehicle Make:


Vehicle Model:


Vehicle Engine Size (In CC):


Gross Vehicle Weight:


Year of Manufacture:


Date vehicle purchased:

Is the vehicle professionally sign written?:


Vehicle Value (£):


Where are vehicles kept?


Vehicle Security


Number of years driving licence held? (*)


No Claims Discount (courier) - years? (*)


If you have no courier no claims discount, how many years private no claims discount? (*)


Cover Required




Driver Details


Driver 1

Name & Age


Conviction Details


Further Conviction Details



Driver 2

Name & Age


Conviction Details


Further Conviction Details



Driver 3

Name & Age


Conviction Details


Further Conviction Details



Driver 4

Name & Age


Conviction Details


Further Conviction Details


Claims & Medical Condition Details

Please detail claims or medical conditions for any driver, including; date, circumstance and cost.
Current Insurers:


Renewal Date:


Public Liability Quote Required?
If Yes - How many staff inc owners and directors work within the business?


Goods In Transit Quote Required?


If Yes - Do you carry and high risk, expensive or hazardous goods ever and if so what are they?

Details of any liability or goods in transit claims - ever:

Finally.....

Would you like any of our trading partners to contact you regarding any of the following?:

Contract Hire


Vehicle Tracking Systems?


Vehicle Hire?


Accountancy & Auditing?


Pension Advice?


Motor Conviction Solicitors



 



Send mail to info@atlanticandpacificinsurance.co.uk with questions or comments about this web site.
Copyright © 2010 www.courierinsuranceuk.co.uk

BEWARE OF NON UK BASED INSURANCE WEBSITES OFFERING INSURANCE ADVICE TO COURIERS WITHOUT BEING REGULATED BY THE UK FINANCIAL SERVICES AUTHORITY (FSA)

BEFORE YOU GIVE ANYONE YOUR DETAILS, ASK THEM WHERE THEY ARE BASED FIRST -
we are in Manchester



We are currently working on
a
fuel deal and a nationwide servicing and repair deal...
we really do want to be the champion to couriers
across the UK!!




Facing a motoring conviction or
even a ban?


Kaufman Legal can help!

Kaufman Legal are specialist law   advisors and can advise on all motoring offences from speeding 
to drink driving.

Don't risk your license -
speak to Kaufman Legal on

0800 88 18 21
or visit...
www.kaufmanlegal.co.uk



The website is owned and operated
by 'Rollins Commercial Ltd T.as
Atlantic and Pacific Insurance Group
Authorised and regulated by the
financial service authority under
registration number 523413