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    Default Don't forget if you're busy you can email us to get a quote!

    If for any reason you can't contact us by phone, you could always email your quote to us.

    We prefer people to ring us for a quote but if you're car insurance renewal is due within the next 21 days, please feel free to complete the questions below, then copy & paste, then email to kim.hazell@chrisknott.co.uk, who will contact you with the quote.

    The scheme is for both standard and modified cars with cosmetic changes and bhp increases of no more than 50bhp.

    Please see the original thread for age restrictions, and you must have at least 1 year's NCB – no introductory discounts are allowed.

    All drivers must have held a full UK licence for at least 1 year, and to insure a 'performance' car, there must be at least 1 years experience of driving that car. Unfortunately, the scheme is not competitive on any M - Manchester, L - Liverpool, OL - Oldham & SK1-12 - Stockport postcodes, and excludes Northern Ireland.

    No more than 1 SP/PC/PL conviction offence per driver.

    The minimum premiums are £250 for Comprehensive & £200 for TPFT cover.

    1.PLEASE ONLY USE THIS FORM WITHIN 21 DAYS OF YOUR RENEWAL DATE.
    2.PLEASE ANSWER EVERY QUESTION BELOW.
    3.COPY & PASTE ALL THE TEXT FROM 'NAME OF CLUB' DOWN TO THE BOTTOM
    4.EMAIL THIS TO kim.hazell@chrisknott.co.uk
    5.WE WILL RING YOU BACK WITH THE QUOTE. (IF YOU HAVEN'T HEARD ANYTHING WITHIN 24 HOURS, PLEASE RING US THOUGH WE TEND TO LEAVE MESSAGES & SEND EMAILS SAYING WE HAVE TRIED TO CONTACT YOU).

    Here you go - (if at all possible, can you reply in CAPITALS and different font/colour please?)

    NAME OF CLUB : S-MAX OWNERS CLUB
    CLUB REFERENCE NUMBER: 072

    Full name of policyholder (inc Mr/Mrs/Miss/Ms):

    Home postcode:

    Mobile number:

    Daytime number:

    Vehicle registration number:

    Make & full model of car:

    CC:

    Year of manufacture:

    Value of car:

    Registered Keeper:
    Registered Owner:

    Where is vehicle kept overnight:

    Number of seats:

    Date of purchase of car:
    (If less than 12 months ownership, please
    give details of previous cars owned)

    Immobiliser fitted:

    Modifications:

    RHD or LHD:

    Cover required (Comprehensive or TPFT):

    Renewal Date:

    Years NCB that is available to use on this policy:
    (NCB lapsed 2+ years ago and NCB earned as a named driver is not counted)

    Protected bonus required if full NCB – Yes or No:


    Who is driving:

    For ALL drivers –

    Male or female:

    Date of birth:

    How long lived in UK:

    How long held a full UK licence:

    Occupation plus any part time jobs:

    Business nature of your job:

    Employed or self-employed:

    Marital status:

    Total miles per annum:

    Use of car – commuting or business use:
    If business use (if so, what specifically)

    Homeowner:

    Any claims fault or non fault within 5 years:
    Please give circumstances including approx costs, which policy the claim was on and what happened

    Any convictions within 5 years:
    Please give code (eg SP30), date of conviction, fine, ban

    Disabilities notified to DVLA:

    How many cars in family:

    Postcode where car kept overnight:

    Renewal quote:

    Total renewal excess (inc voluntary & compulsory):

    Which insurer:

    Best alternativequote:

    Total excess (inc voluntary & compulsory):

    Which insurer:

    (Proof will be needed of quotes as we are audited by the insurers. This can
    be in the form of renewal notices, internet log in details and reference numbers).
    Last edited by ChrisKnottIns; 09-08-2012 at 09:18.

    Please call 0800 917 2274 (or 01424 200477) quoting REF: SMO-72
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