GT-TD04
Supermoderator
***** Copy this to an email and email it info@insure.ie******
Please complete the following form so that we can quote you:
FIRST DRIVER DETAILS (CAR OWNER)
Your name:
Date of Birth:
Address:
Occupation:
Licence type:
DRIVING HISTORY
Do you hold a no claims bonus? Percentage discount with current insurance?
Years Held: Insurance company it’s with?
Do you have named driving experience?
Years named:
Cover Required: tpft or comp??
Renewal date: (if applicable) ????
Are you claims free for last 5 years?
(If no please input date of claim(s) and amount settled)
Named Drivers if any?
Name: Date of birth:
Occupation:
Licence Type:
Do you have a partner with their own insurance?
If so what make and model of car are they driving:
CAR DETAILS:
Make of car:
Model: additional lettering i.e WRX, STI etc???
Reg. / year: Jap import?? yes/no
Value of car
What price are you looking to beat? We may need to see proof of certain prices.
i just recieved my email reply.
my details:
18
prov license
1 yr 5 mths named driving experience
Car Details
94 Toyota Starlet GT Turbo
Insurance cover: TPFT
QUOTE:
€3900
I have replied asking for a requote with my father as a named driver and me with a full license( should be up soon)
Will post details
Please complete the following form so that we can quote you:
FIRST DRIVER DETAILS (CAR OWNER)
Your name:
Date of Birth:
Address:
Occupation:
Licence type:
DRIVING HISTORY
Do you hold a no claims bonus? Percentage discount with current insurance?
Years Held: Insurance company it’s with?
Do you have named driving experience?
Years named:
Cover Required: tpft or comp??
Renewal date: (if applicable) ????
Are you claims free for last 5 years?
(If no please input date of claim(s) and amount settled)
Named Drivers if any?
Name: Date of birth:
Occupation:
Licence Type:
Do you have a partner with their own insurance?
If so what make and model of car are they driving:
CAR DETAILS:
Make of car:
Model: additional lettering i.e WRX, STI etc???
Reg. / year: Jap import?? yes/no
Value of car
What price are you looking to beat? We may need to see proof of certain prices.
i just recieved my email reply.
my details:
18
prov license
1 yr 5 mths named driving experience
Car Details
94 Toyota Starlet GT Turbo
Insurance cover: TPFT
QUOTE:
€3900
I have replied asking for a requote with my father as a named driver and me with a full license( should be up soon)
Will post details
Last edited:
