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Commercial Motor Insurance
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Commercial Motor InsuranceWe are able to offer you facilities to insure, at competitive rates, trucks, prime movers, trailers , farm, machinery, earth moving equipment and many other commercial vehicles. To get an obligation free quote or instant cover please ring 1300 522 183 or complete the questionnaire below and email or print and fax to us.

For more information please ring us on 1300 552 `183 or complete the details below and email the information and we will get back to you immediately.

 

Name
Address Line 1
Address Line 2
Date of Birth - eg. 16/10/1990
Contact Phone Number
Email
.
Occupation
Vehicle - Year/Make/Model
Carrying Capacity
Vehicle Use - Private/Business
Registration Number
Engine Number
Vin Number (if known)
.  
Vehicle Value
Is Vehicle Financed? If Yes, Name the Financier

Previous or Current Insurer Rating Number
Have you had any Major Claims/Convictions/Offences?
.
 
 
Comments / Additional Information:
 





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