Storage and Transit Quotation Form - Grove & Dean Motorsport Insurance : Grove & Dean Motorsport Insurance

Motorsport Storage and Transit Quotation Form

Section 1 of 7: Personal Details

Team name:

Contact name:

Address:

Email:

Contact number:

Preferred method of contact:

Section 2 of 7: Vehicle Details

Vehicle Type:

Make and model:

Series / Championship competed in:

Total replacement value:

Number of events planned:

Section 3 of 7: Trailer Details

Make and Model:

Total replacement value:

Section 4 of 7: Spares/Wheels

Brief summary of parts of note / No. sets of wheels:

Full replacement value:

Section 5 of 7: Tools/Spares/Wheels

Brief summary of tools of note:

Full replacement value:

Section 6 of 7: Storage details

Vehicle Garaged:

YesNo

If address different to above, please provide details:

Type of premises:

Build of premises

Section 7 of 7: Security details

Please provide details of any Alarms (including Redcare), CCTV, Manned Security, Locks etc on premises and Insured items:

Declaration

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.

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 Insurers to any form of insurance contract.