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Motor Trade Additional Vehicle Form

Your Details...

Please enter your policy reference number here.
Please enter the full name of the person who deals with the company's insurance.
Please tell us the telephone number that you would to be contacted on.

Additional Vehicle Details...

Please enter the registration of the vehicle.
Please enter the make of the vehicle.
Please enter the model of the vehicle.
Please enter the current market value of the vehicle.
When Was This Vehicle Purchased?
RadDatePicker
RadDatePicker
Open the calendar popup.
When Was This Vehicle Sold?
RadDatePicker
RadDatePicker
Open the calendar popup.

Adding vehicles using this facility is not automatic acceptance of cover.  Certain vehicles may have cover declined or special terms imposed.  You will be contacted by your insurer accordingly should this be the case.

Please tick the box to confirm you have read and understood the above disclaimer. *