No maximum number of vehicles.
24-7 Emergency Control
Specialist Garage Agents
throughout the UK
Level of Cover Required, Name, Email, Address, Post Code and Vehicle Details.
Level of cover
Commercial Vehicle Roadside Assistance
Mr Mrs Ms Miss
Dr Rev Initials
Box for Multiple Vehicles: Make - Model - GVW - Year - Reg No.
you have more than one vehicle please enter
details of each vehicle in above info box
Motor Homes, Campers, Horse Boxes, Courier & Delivery and Furniture Removal
DECLARATION I declare that:
a/ The above information is correct.
b/ The above vehicle/s are in a roadworthy
c/ No organisation
providing similar cover has declined, refused to renew or cancelled my membership.
d/ I am not aware of any circumstances
to give rise to a claim under this insurance
understand that this proposal form is the basis of the contract between us. I
agree to accept terms, conditions and exclusions contained in the Membership Certificate
which will be issued to me upon acceptance of my application.
you press the Confirm Purchase button above a Thank You page will appear. The
Thank You page means you have successfully registered your application and no
further action is needed by you today.
After we have received your
application and provided the application form is fully completed you will receive:
The 24 hour
Emergency Service numbers
A Certificate/s of Insurance detailing the level of service requested
cannot commence until at least 48 hours have elapsed following
the time of your application
cover cannot be offered
application form is time stamped
any detail need verification or clarification we will correspond by e-mail. SAFE