Goods In Transit Quotation

Building and Allied Trade

Fleet Related Policies

Individual Bonus Policies

Office Insurance

Professional Indemnity

Wholesalers & Suppliers

Goods In Transit Quotation

To help us provide you with out best possible quotation, please complete as much of the following quotation form as you can.
Title
Name
Trading Name
Address
Address 2
Address 3
Address 4
Postcode
Telephone
Email
Occupation/Trade
Years Trading
Claims/Losses in the last five years
Number of vehicles operated
Vehicle details:- eg. Make & model, body type, GVW, Payload, Max load value
Cover required
Geographical limits
Type of goods carried
Will you be KNOWINGLY carrying any of the following: Livestock, precious stones or minerals, jewelry, watches, furs, tobbaco products, spirits, musical instruments, computers or domestic audio/visual wquipment? If so please give details.
Maximum Value of load
Projected approximate annual turnover
Ever been declared bankrupt or insolvent?
Been convicted of any criminal offence, which is not 'Spent'?
Had any County Court Judgements entered in the last six years?

WestPennine Insurance Services Group is the trading name of WestPennine Insurance Consultants Limited. Registered Office 84 Church Street, Littleborough. OL15 8AU. Registered in England number 939318
Telephone 01706 378990 Fax 01706 371417

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