MOtorSport Race&Rally Insurance Services - Another innovative brand of Everitt Boles

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Moris - motorsport insurance for the enthusiast
 

Storage & Transit Quote

Summary Of Cover • FAQ's • Policy Wording

Existing User?
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Email Address:
Password:
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Your Details - New User
Title:
Forename: Surname:
Address Line 1:
Address Line 2:
Town:
County:
Postcode:
Date of Birth [dd/mm/yy]:
Occupation:
Telephone:
Fax: Mobile:
How did you find us:
Email:

Note: Check email address. If incorrect our formal quotation will not reach you since this is only sent by email		 Password:

Your Competition Licence
Type of licence held: How many years have you been competing?

Your Competition Activities
Motorsport discipline:
Championship / Series:
Approximately how many events will you be contesting this year?
Which Club are you a member of?
   

Storage Address Details
Storage address, if different from your home address: Is the car / equipment in custody of a third party? Yes   No
If YES, please state who:
Type of storage premises: CCTV: Yes   No
Any other security: Is the building alarmed and linked to a security company / police station? Yes   No

Transit Details
State method of transportation: Make and model of towing vehicle (where trailer is used):
Approximate annual mileage travelling to and from circuits: Make and model of car / van / lorry:

SECTION 1: Equipment Details
Make & Model of competition vehicle(s):
(max chars: 100)		 Value: £
Engine Make(s):
(max chars: 100)		 Value: £
Trailer Make and Model:
(max chars: 100)		 Value: £

SECTION 2: Optional Policy Extensions
Tools Value: £ (max value £5000)
Spares Value: £ (max value £5000)
Racewear: £ (max value £1000)

Total Sum Insured: SECTION 1 £ SECTION 2 £ TOTAL £
Preferred Excess: SECTION 1 SECTION 2  

What date do you require cover to commence from?
Click on calendar to choose date: - This does not commit you to purchasing this insurance

Declaration
Material Facts and Non Disclosure
I/we hereby declare that to the best of my/our knowledge, that the statements made in this proposal are true and complete and that I/we have not suppressed or mis-stated any material facts. (Further Details)

Policy Wording
It is important that you read the policy wording before you effect cover with ourselves. (Policy Wording)

Application
I/we agree that this application and declaration, together with any information supplied by me/us, shall form the basis of the contract between myself/ourselves and the Insurer.
I/we understand that completion of this application form does not bind myself/ourselves or the Insurer to any form of insurance contract.

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Important: I/we confirm that I/we have read and understood the above. Further I/we confirm we have checked the accuracy of all information supplied above.


Premium inc. Insurance Premium Tax £


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