We are able to provide you with easy access to a number of motor vehicle insurers. You can click the link below for an online motor quotation or ring us on 1300 552 183 for a choice of several underwriters with competitive benefits and premiums for you. We can issue instant cover and certificates of currencies if required.

Or you can complete the questionnaire below and email it back to us. We will respond immediately upon receiving your email.

Or you can simply print the questionnaire completed and fax it to us on 03 9827 7268.

Click here for Online Motor Quotations.

 

Name Address Line 1 Address Line 2 Date of Birth - eg. 16/10/1990 Contact Phone Number Email . Occupation Vehicle - Year/Make/Model 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?

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