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  Contact Details
Title: *
First name: *
Surname: *
Address: 1 *
Address: 2
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County: *
Post Code: *
Telephone: *
Mobile:
Email *
Where did you hear about us? *
 
Business
Occupation: *
Business description: *
Number of full years trading: *
 
Cover
Date cover required: *
Level of cover required: *
 
Vehicle Details
Number of commercial vehicles operated: *
Make: *
Model: *
Registration Number:
 
General Questions
Do you require cover for your tools outside the British Isles? *
Have you suffered any loss or damage relating to the subject matter of this insurance within the last 3 years? *
Have you or any of your directors or partners ever been convicted of or charged with (but not tried for) any criminal offence other than a driving offence? *
Have you ever had any insurer decline, cancel, declare void, or impose special terms to any insurance the subject matter of this proposal? *
 
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Tools Insurance Direct is a division of A-Plan Holdings. Tools Insurance Direct and associated companies may wish to email you, or provide you by other means with promotional material and other products and services that might be of interest to you.
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