Coach & Minibus
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Branch
Postcode
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Facsimile
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Client
Company
Street No.
Postcode
Existing Client
Yes
No
Years Establish
Annual Mileage
Vehicle Security System
Yes
No
Age of Youngest Driver
Excess Amount (Min £350)
Occupation
Private Hire
Public/Stage
Social, Domestic & Pleasure
Community Transport
Staff Transport
Non-Profit Organisation
Driver Limitation
Policyholder only Inc SD&P for Spouse
Policyholder & 1 named Inc SD&P for Spouse
Policyholder & 2 named inc SD&P for Spouse
Policyholder & 3 named Inc SD&P for Spouse
Any Driver
NCD
0 Years
1 Year
2 Years
3 Years
4 Years
5 Years
Number of Vehicles
Up to 11 Seats
12-16 Seats
17-20 Seats
21-30 Seats
31-45 Seats
46-55 Seats
56-85 Seats
Indemnity Limits
Max Value Comp
Max Value TPFT
Drivers Details (All Drivers)
Claims or Convictions
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Date
1st Claim or Conviction
2nd Claim or Conviction
3rd Claim or Conviction
4th Claim or Conviction
5th Claim or Conviction
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is a trading name of
Bollington Underwriting Ltd
| Unit 26, Hampstead Avenue, Mildenhall, Suffolk IP28 7AS