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Luton Van
Vehicle Details
Courier & Delivery
Motor Trade
Driver & Cover
Licence
Personal Details
Vehicle Details
Registration Number
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Please enter the registration number.
Vehicle Make
Vehicle Model
Vehicle Year of Make
Vehicle Engine Size
Vehicle Fuel Type
Vehicle Transmission
How many seats does the vehicle have?
--Please select--
1
2
3
4
5
6
7
8
9
10
11
12+
What is the estimated vehicle value?
--Please select--
Under £1000
£1000 - £3000
£3000 - £5000
£5000 - £10000
£10000-£25000
£25000-£50000
£50000-£75000
£75000 - £100000
Over £100000
What is the vehicle type?
--Please select--
Standard Van
Box Van
Luton Van
Pick Up
Tipper Truck
Crew Cab
Catering Van
Ice Cream Van
Breakdown/Recovery Van
Other
What is the Gross Vehicle Weight?
--Please select--
Under 3.5 Tonnes
3.5 - 7.5 Tonnes
7.5 Tonnes
8 - 32 Tonnes
32 - 44 Tonnes
Over 44 Tonnes
Don't Know
What do you use the vehicle for?
--Please select--
Courier
Delivery
Other
Social Domestic & Pleasure
Carriage of Own Goods
Removals
Breakdown/Recovery
Motor Trade
Club or Association
How many vehicles do you want to insure under this policy?
--Please select--
1
2
3
4
5+
Do you use the vehicle for Courier or Delivery?
Yes
No
Please select an option
Do you use the vehicle for business in connection with the Motor Trade?
Yes
No
Please select an option
Is the vehicle imported?
--Please select--
No
USA
France
Germany
Japan
EU
Other
Where is the vehicle normally kept overnight?
--Please select--
Public Road
Driveway
Garage
Locked Compound
Residential Parking
Other
How long have you owned the vehicle?
--Please select--
Not bought yet
0 - 6 Months
6 - 12 Months
12 - 24 Months
More than 24 Months
Does the vehicle have any signage?
Yes
No
Please select an option
Does the vehicle(s) have any internal or external racking?
Yes
No
Please select an option
Are you a full time in business?
--Please select--
Yes
No
Not in Business
How long have you been working/trading in this business?
--Please select--
Less Than 1 Year
1 year
2 years
3 years
4 years
5+ years
What is the approximate annual mileage?
--Please select--
0 - 3,000 Miles
3,000 - 5,000 Miles
5,000 - 8,000 Miles
8,000 - 10,000 Miles
10,000 - 15,000 Miles
15,000 - 20,000 Miles
More than 20,000 Miles
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