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Motor Trader Insurance



Email
Telephone*
Mobile
Cover Required From
Renewal Premium
Title
Full Name*
Primary Trade
Risk Postcode
Building No/ Name
Years Trading
Vehicles to be Covered
Does the Premises have a Timber Roof?
Does the Proposer Live on the Premises?
Premises Alarm Bell Only?
Premises Alarm a Digicom?
Premises protected by CCTV?
Premises Alarm is  RedCare?
Premises Alarm is RedCare GSM/ DualCom?
Proposer Require Subsidence?
Propposer Require Accidental Damage?
Claims/ Losses in the last 5 years?
Please provide details for all Claims or Losses: Date, Reason and Loss Amount
motortraderinsurance.eu, motor trader insurance and insurance services are all represntations of Lionheart Insurance
Lionheart Insurance
Services Ltd is regulated by the Financial Services Authority, Ref 499589


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