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Taxi Fleet Quote

To complete your quote request, either download the quotation form and fax it to - 029 20 30 10 40
or complete the following form Below

Quote Request


Agent: Agency No: Contact:
Fax No: Tel No:
Client Name: Client Postcode:
Address:
Date Established: Local Licensing Office:
Sums Insured
1. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
2. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
3. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
4. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
5. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
6. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
7. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
8. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
9. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
line
10. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
11. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
12. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
13. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
14. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
15. Make / Model: Seats: Use:
CC/GVW:
Year: Value: NCB: Cover:
 
 
Driving Restrictions: No. of Drivers: Excess:
Claims (Please provide full details of any incidents including full costs incurred by the insured and the Third Party within the last three years):
Convictions:
Present Insurers: Target Premiums: Deadline:
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