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

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Moris - motorsport insurance for the enthusiast
 

Car Trackday Application

CARS ONLY
Bikes Click Here
ELIGIBILITY - QUICK CHECK
Make of Car:
Venues:

If your make of car or venue is not listed, please click here

Summary of Cover • FAQ's • Policy Wording
CARS ONLY
Bikes Click Here
Existing User?
If you have used our site before please enter your email address and password below to retrieve your details:

Email Address:
Password:
Lost your password? click here to get your password emailed to you.

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:

Track Day Details
Date of track day: click on calendar to choose date
Name of Organiser:
Name of Track/Venue:

Car Details
Make of Car:
Exact Model:
Year of Manufacture:
Is the car road registered or purpose built track day car?
Road registration: If none,
How long have you owned this car? (eg - 1 year, 2 months)
If you are not the owner of the car, please state who legally owns vehicle and your relationship to them:
Current market value of your car: £ no commas or spaces

Incidents and Experiences
Approximately how many Track Days have you been on before?
Please give details of track days that you have been on, including any previous MORIS trackday insurance policy references: If none,
Details of any accidents whilst taking part in a Track Day: If none,
Details of any claims and convictions on the road within the last 5 years: If none,
Do you hold a racing licence? Yes   No
Are you currently competing in a championship? Yes   No
If 'Yes', please specify:

Additional Drivers
WARNING:
Additional drivers are a nightmare! Most claims are caused by 'Additional Drivers' and none of the accidents are small! Excesses and premiums carry considerable loading.
Do you require cover for any additional drivers? Yes   No
If Yes, please state name(s): 1.
2.
Please state ages, trackday experience and details of any accidents:

Additional Material Information
Details of any other material information about the track day(s), car(s) or driver(s):


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