Motor quote form

Dover Insurance Services have access to rates with over 50 car insurance schemes. With car insurance premiums increasing by approximately 30% we could by saving you money. If you would like us to give you a car insurance quote please complete the quote request form below and we’ll be glad to give you a motor insurance quotation today. Alternatively speak to Mark or Tina on 01304 213613 it will only take a few minutes of your time to give you a car, van, motorbike or truck insurance quote that could save you money. For any type of motor quote Dover Insurance Services may be able to help. Vehicles we can quote for include cars, motorcycle insurance policies, van insurance policies, truck insurances and motor caravan insurances.

Policy Holder Details

Name

Date of Birth

Licence type

Occupation

Licence held since

Telephone (day)

No Claims bonus (Years)

Contact Address

Postcode

Accidents claims or losses (in the last 5 years)

Motoring Convictions or Disabilties

Driver 2 details

Name

Date of Birth

Licence type

Licence held since

Occupation

Accidents claims or losses (in the last 5 years)

Motoring Convictions

Driver 3 details

Name

Date of Birth

Licence type

Licence held since

Occupation

Accidents claims or losses (in the last 5 years)

Motoring Convictions

Cover Required

Cover required
(if different from above.)

Main Driver details.)

Excess Amount

Cover start date

Use

Car type

Make

Model

Engine Size

Security state type and where kept overnight. (Driveway,Road,Garage etc..)

Extra Information, please include any extra information that we might require to obtain a favourable quotation for you. Please state the following how the building is occupied, if it's not of standard construction, and let us know if there have there been any previous losses or claims for this type of policy in your name.

Extra Information