Personal Details
Name
Trading Name
Business Postcode
Telephone
Mobile
Email Address


Your Business
Are you
Annual Turnover £
Year Established?
Full or Part Time?
Trading From
Number of Proprietors, Partners or Directors
Number of Employees
What is Your Business Type?
e.g. Vehicle Sales, repairs, valeting
What Vehicle Category do you work on?
e.g. Cars, Light Commercial, Motorcycles, CV's?
Do you carry out heat work?
e.g. soldering, welding
- If "Yes", is it on or off the premises?


Insurance Cover Required
Public Liability
(£ million limit)
Sales and Service Indemnity
Damage to customers vehicles
Tools Cover
Employers Liability
Sub Contractors
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Name
Tel
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