EMAIL YOUR QUOTE IF YOU CAN�T RING

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 peter.haywood@chrisknott.co.uk, who will contact you with the quote.

The scheme starts for ages 22 and over for Comprehensive cover (though 25 for some cars), & 19 and over for TPF&T cover, and you must have at least 1 year's NCB (unless you have NCB on a second car or a company car letter to state at least 1 year's claim free driving).

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, or similar performance cars. Unfortunately, the scheme is not competitive on all M - Manchester, L - Liverpool, OL - Oldham & SK1-12 - Stockport postcodes and excludes Northern Ireland.

1.WE WILL ONLY QUOTE IF YOUR CAR INSURANCE RENEWAL DATE IS WITHIN 21 DAYS OF THE DATE OF YOUR EMAIL,

2.PLEASE ANSWER EVERY QUESTION BELOW,

3.COPY & PASTE ALL THE TEXT FROM 'NAME OF CLUB' DOWN TO THE BOTTOM

4.EMAIL THIS TO peter.haywood@chrisknott.co.uk

5.WE WILL RING YOU BACK WITH THE QUOTE. (IF YOU HAVEN'T HEARD ANYTHING WITHIN 24 HOURS, PLEASE RING US AS WE INTEND 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 : CLUB NISSAN  C

CLUB REFERENCE NUMBER : 996  

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 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 acceptable)

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 quote

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).